	GIFT AID DECLARATION

Please treat all donations I make on the date of this declaration as Gift Aid donations to support the work of The British Motor Industry Heritage Trust at the Heritage Motor Centre
Title (Mr, Mrs, Miss, Dr etc):
First Name(s):		Surname:
Address:		Address 2:
City / Town:		County:
Postcode:
Amount Donated : (equivalent to normal admission charge - please see Motor Museum entry prices, in planning a visit or check at the pay desk on arrival)
Signature:.................................................................................................... (Please print form and sign) Date of Visit:.........................................................
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Registered Charity No. 286575