Support the Gallery !

Instructions:
USA taxpayers can make a tax-effective donation of any amount through Gift Aid by doing the following:

1. Print out this page and complete the form in full.
2. Make cheque payable to 'Brazilian Touch Gallery'
   
3. Post the form with cheque to:
   Office
   Brazilian Touch Gallery
   475 San Marin Dr
   USA, CA 94945

Gift Aid Declaration

Title......................................................................

Surname...............................................................

Forenames...........................................................

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

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

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

Postcode..............................................................

E-mail..................................................................

Please treat my donation of $................................
(and all future donations*) as a Gift Aid donation.
(* delete if appropriate)

Signature..............................................................

Date.....................................................................

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