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If you pay Income Tax at the higher or additional rate and want to receive the additional tax relief due to you, you must include all your Gift Aid donations on your Self-Assessment tax return or ask HM Revenue and Customs to adjust your tax code. Please notify New Horizon if you want to cancel this declaration, change your name or home address or no longer pay sufficient tax on your income and/or capital gains. Gift Aid is reclaimed by New Horizon from the tax you pay for the current tax year.We need this information to maintain our records. In compliance with legal obligations your name and address and tax status will form part of our Gift Aid Claim to HMRC. Name* First Last House Number & postcode*Your address is needed to identify you as a current UK taxpayer. House Number ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Hidden{ Show if: Cheque }Please submit this form and send your cheque to: New Horizon Ministries Ltd 12 Killyvally Road, Garvagh, BT51 5JZHidden{ Show if: Text Giving }Is your text donation* Monthly One-Off Text 'MONTH' to 70470 to give £10 a month.This costs £10 plus a std rate msg. You can donate any whole amount up to £20, change the amount in your text eg MONTH20 for £20Text 'GIVE' to 70470 to donate £20This costs £20 plus a std rate msg. You can donate any whole amount up to £20, change the amount in your text eg GIVE15 for £15Hidden{ show if: bank transfer }Is your bank transfer donation* Regular Donation One-Off Donation Will your standing order be Monthly Quarterly Annually How much per month?* How much per quarter?* How much each year?* Amount of Donation (£)* Please contact your bank to set up a Standing Order/Transfer to: Account Number 71046675 Sort Code 95-03-46 New Horizon Ministries Ltd Danske Bank Main Street, Kilrea Please press submit at the bottom of the page so we know to expect your donation and we can claim Gift Aid (if you have told us).Hidden{ Show for credit card }Is your credit card donation* Monthly One-Off Amount of Donation (£)* Continue with this form to make a credit/debit card donation online or you can donate at the information desk at New HorizonOn clicking submit you should be directed to PayPal.You can use your credit/debit card without a PayPal account. 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