Deed of Covenant

Please print out and complete the following form

                      DEED OF COVENANT

(full name(s) in Capitals)

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

of (address)

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

hereby COVENANT with ANIMALS IN DISTRESS that for a period of four years from the

............................... day of ...................................... year of ....................or during my lifetime

(which ever period shall be shorter). I will pay each year to ANIMALS IN DISTRESS out of

my taxed income such a sum as will, after deduction of tax at the basic rate, amount to:-

£..........................................(please insert the amount of your donation).

In witness whereof I have hereunto set my hand and seal this ..................................... day of

......................................................... year of .............................................

Signed ................................................................................................

In the presence of ...............................................................................

Signature of Witness ...........................................................................

Address

Witness .............................................................................................

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

Please return to:

ANIMALS IN DISTRESS,  
55 Silver Street,  Irlam,  Manchester,  M44 6HT

Registered as a Charity under the Charities Act 1960 N0. 515886