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Your Name
Personal Details
* Home Address
Payment Details
Give this card a name for future reference
* Cardholder Name
 (As printed on the card)
* Card Type
* Card Number
* Expiry Date
* Security Code
(the last 3 digits on the back of your card. show me)
Start Date
(optional: please add if printed on your card)

Cardholder Address
* Line 1:
Line 2:
Line 3:
* Town / City: * City:
County: State:
* Postcode: * Zip code:
Gift Aid
All payments are eligible for Gift Aid.
Faith Ministries London can reclaim the tax paid on this donation. Please remember that you must pay an amount of income tax and/or capital gains tax equal to the tax that is reclaimed for this donation.

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