Field Is Required
Field Is Required Please select your donation amount:
if Gift Aid is selected
At no extra cost to you, increase your gift by 25p for every £1 donated every time you donate using Gift Aid. Please read the statement below and tick the box if it applies to you.
I understand that if I pay less income tax and/or capital gains tax than the amount claimed on all my donations in that tax year (6th April 5th April), it is my responsibility to pay any difference. Please note that collections donations made by an individual cannot be Gift Aided e.g Birthday Collections.
Please notify the charity if you:
- Want to cancel this declaration
- Change your name or full home address
- No longer pay sufficient income tax and/or capital gains tax
- If you are a higher rate tax payer you can claim personal tax relief via a Self-Assessment tax return or ask HM Revenue and Customs to adjust your tax code.
Choose your payment method:
Credit / debit card information
to find out more about how we collect and use your information.
We would like to keep you up to date with our fundraising campaigns and events, products from our charity shop and what you are helping us to achieve. Please tick to say how you would like us to contact you:
We do not sell, share or swap your information with any
third party for the purposes of them sending marketing information.
We will keep your details safe and if you change your mind
about your communication preferences or want to stop receiving communications
you can contact us at any time: 40 Bernard Street London, WC1N 1LE, telephone
0203 841 3131 or email@example.com.