Please print out this form and send it along with your cheque
payable to 'King's Own Royal Regiment Museum'.

Name        _______________________________________________

Address    ________________________________________________

_________________________________________________________

Postcode    _______________________________________________

I wish the Museum to reclaim tax on my donation □ (please tick)

Signed    __________________________________________________

Donation    £100  □  £50 □   £25  □   £10 □  £5   □

Other amount    £ ______

Important Notice: You must pay an amount of income tax or capital gains
tax equal to the tax we reclaim on your donations (28p for every £1 you give).

Please send your donation, and this form to:
Curator, King's Own Royal Regiment Museum,
Market Square, Lancaster, LA1 1HT

The King's Own Royal Regiment Museum is registered as a charity no 272109.