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{\plain\i\f16\fs24\cf1 (name and address of your Bank or Building Society) }
{\plain\f16\fs24\cf1 . . . . . . . . . . . . . . . . . . . . . . .\par }
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{\plain\i\f16\fs24\cf1 The John Ray Initiative}
{\plain\f16\fs24\cf1 , Account no. 0110420  Sort code 30-97-49\par }
\pard\qj\tx1260\tx1420\tx1780\tx2140\tx2480\tx2840\tx3200\tx3560\tx3920\tx4280\tx4640\tx4980\tx5340\tx5700\tx6060\tx6420\tx6780\tx7140\tx7480\tx7840{\plain\f16\fs24\cf1                     Lloyds Bank plc, 83 High Street, Sevenoaks, Kent TN13 1LG\par }
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{\plain\i\f16\fs24\cf1 (month)}
{\plain\f16\fs24\cf1    20 . . }
{\plain\i\f16\fs24\cf1 (year)}
{\plain\f16\fs24\cf1 \par }
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{\plain\b\f16\fs24\cf1 monthly / quarterly / annually  }
{\plain\f16\fs24\cf1 thereafter from my account\par }
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{\plain\i\f16\fs24\cf1  }
{\plain\f16\fs24\cf1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..  . . . . . . . . . . . . . . . .\par }
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\pard\qj\tx1260\tx1420\tx1780\tx2140\tx2480\tx2840\tx3200\tx3560\tx3920\tx4280\tx4640\tx4980\tx5340\tx5700\tx6060\tx6420\tx6780\tx7140\tx7480\tx7840\sb240{\plain\f16\fs24\cf1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Post code. . . . . . . . . . \par }
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\pard\qj\tx1260\tx1420\tx1780\tx2140\tx2480\tx2840\tx3200\tx3560\tx3920\tx4280\tx4640\tx4980\tx5340\tx5700\tx6060\tx6420\tx6780\tx7140\tx7480\tx7840\sb280{\plain\f16\fs24\cf1 \par }
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{\plain\f2001\fs24\cf1 \par }
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\pard\qj\tx1260\tx1420\tx1780\tx2140\tx2480\tx2840\tx3200\tx3560\tx3920\tx4280\tx4640\tx4980\tx5340\tx5700\tx6060\tx6420\tx6780\tx7140\tx7480\tx7840{\plain\b\f2001\fs24\cf1 \par }
\pard\qj\tx1260\tx1420\tx1780\tx2140\tx2480\tx2840\tx3200\tx3560\tx3920\tx4280\tx4640\tx4980\tx5340\tx5700\tx6060\tx6420\tx6780\tx7140\tx7480\tx7840{\plain\i\f2010\fs24\cf1 If you are a UK tax payer, and pay income or capital gains tax equal to the tax deducted from your donations,}
{\plain\b\f16\fs24\cf1  }
{\plain\f16\fs24\cf1 completion of this form enables The John Ray Initiative to reclaim from the Inland Revenue income tax paid by you on your gift, increasing its value by 28% at no extra cost to you. This form only needs completing once for us to recover the tax paid on any }
{\plain\f16\fs24\cf1 and all single or regular donations of any size, after 6 April 2000. If you want to make a regular donation, please also complete the 'Standing Order Authority'.\par }
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\pard\qj\tx1260\tx1420\tx1780\tx2140\tx2480\tx2840\tx3200\tx3560\tx3920\tx4280\tx4640\tx4980\tx5340\tx5700\tx6060\tx6420\tx6780\tx7140\tx7480\tx7840\sb120{\plain\f16\fs24\cf1 . . . . . . . . . . . . . . . . . . . . .  . . . . . . . . . . . . . . . . . . . . .  Post code . . . . . . . . . . . . .. . \par }
\pard\qj\tx1260\tx1420\tx1780\tx2140\tx2480\tx2840\tx3200\tx3560\tx3920\tx4280\tx4640\tx4980\tx5340\tx5700\tx6060\tx6420\tx6780\tx7140\tx7480\tx7840{\plain\f16\fs24\cf1 \par }
\pard\qj\tx1260\tx1420\tx1780\tx2140\tx2480\tx2840\tx3200\tx3560\tx3920\tx4280\tx4640\tx4980\tx5340\tx5700\tx6060\tx6420\tx6780\tx7140\tx7480\tx7840{\plain\f16\fs20\cf1 Please treat all donations I have made to }
{\plain\i\f16\fs20\cf1 The John Ray Initiative}
{\plain\f16\fs20\cf1  since 6 April 2000 and all donations I make hereafter, as Gift Aid donations.\par }
\pard\qj\tx280\tx1260\tx1420\tx1780\tx2140\tx2480\tx2840\tx3200\tx3560\tx3920\tx4280\tx4640\tx4980\tx5340\tx5700\tx6060\tx6420\tx6780\tx7140\tx7480{\plain\b\i\f16\fs20\cf1 \par }
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{\plain\i\f16\fs20\cf1 The John Ray Initiative }
{\plain\f16\fs20\cf1 and that no further tax will be reclaimed from the date of cancellation.}
{\plain\f16\fs24\cf1 \par }
\pard\qj\tx280\tx1260\tx1420\tx1780\tx2140\tx2480\tx2840\tx3200\tx3560\tx3920\tx4280\tx4640\tx4980\tx5340\tx5700\tx6060\tx6420\tx6780\tx7140\tx7480{\plain\f2001\fs24\cf1 \par }
\pard\qj\tx280\tx1260\tx1420\tx1780\tx2140\tx2480\tx2840\tx3200\tx3560\tx3920\tx4280\tx4640\tx4980\tx5340\tx5700\tx6060\tx6420\tx6780\tx7140\tx7480{\plain\f2010\fs24\cf1 Signed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .       Date . . . . / . . . .  /. . . . . .\par }
\pard\qj\tx340\tx700\tx1060\tx1420\tx1780\tx2140\tx2480\tx2840\tx3200\tx3560\tx3920\tx4280\tx4640\tx4980\tx5340\tx5700\tx6060\tx6420\tx6780\tx7140{\plain\f16\fs24\cf1 \par }
\pard\qj\tx340\tx700\tx1060\tx1420\tx1780\tx2140\tx2480\tx2840\tx3200\tx3560\tx3920\tx4280\tx4640\tx4980\tx5340\tx5700\tx6060\tx6420\tx6780\tx7140{\plain\f16\fs24\cf1 \par }
\pard\qj\tx340\tx700\tx1060\tx1420\tx1780\tx2140\tx2480\tx2840\tx3200\tx3560\tx3920\tx4280\tx4640\tx4980\tx5340\tx5700\tx6060\tx6420\tx6780\tx7140{\plain\f16\fs24\cf1 The John Ray Initiative is a Registered Charity, no. 3420063.  \par }
\pard\qj\tx340\tx700\tx1060\tx1420\tx1780\tx2140\tx2480\tx2840\tx3200\tx3560\tx3920\tx4280\tx4640\tx4980\tx5340\tx5700\tx6060\tx6420\tx6780\tx7140{\plain\f16\fs24\cf1 \par }
\pard\qj\tx340\tx700\tx1060\tx1420\tx1780\tx2140\tx2480\tx2840\tx3200\tx3560\tx3920\tx4280\tx4640\tx4980\tx5340\tx5700\tx6060\tx6420\tx6780\tx7140{\plain\f16\fs24\cf1 This form should be returned to JRI, Room QW212, Francis Close Hall, \lineUniversity of Gloucestershire, Swindon Rd. Cheltenham, GL50 4AZ}
}