Gift Aid Declaration
for
The Other Side Gallery

Details of donor

Title ...... Forename(s) .................................Surname ..........................................

Address ...........................................................................................................

.......................................................................................................................

.................................................................Post Code ........................................

I want The Other Side Gallery to treat

the enclosed donation of £ .......................
and all donations I make from the date of this declaration until I notify you otherwise.
(delete as appropriate)

as Gift Aid donations.

Signed.....................................................Date....................................................

And post to: The Other Side Gallery, c/o The Mental Health Resource Centre, 76-80 Isledon Road, London, N7 7LB.

Gift Aid enables us to increase your donation by 28% with no extra cost to you. So a gift of £10 from you is worth £12.80
to us. To Gift Aid your donation you must pay an amount of UK tax equal to the amount we will claim back in the tax year.
The Other Side Gallery will store and process your data in accordance with the requirements of its Data Protection Policy
and in keeping with the Data Protection Act 1998.