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Name(s):
...................................................................................................................
e-mail address:
...........................................................................................................
Address:
....................................................................................................................
.................................................................................................................................
.................................................................................................................................
Telephone contact number:
.......................................................
I/We enclose a cheque for £..................... made payable to UKLGIG.
I am a UK taxpayer and I would like UKLGIG to reclaim tax on my donations
Yes / No (delete as
appropriate)
.................................................................................................................................
Please return to:
UK Lesbian & Gay Immigration Group, PO Box 51524, London, SE1 7ZW
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