Title*
Dr Miss Mr Mrs Ms Prof First Name*
Last Name*
Correspondence Address
House Name or Number*
Street Name*
Address Line1
City*
County
Postcode*
Phone Number
Email Address*
How much would you like to donate?*
£ Message
Terms & Conditions
terms and conditions before proceeding.Confirm*
I fully agree to the Terms and Conditions Gift Aid It
By ticking the Gift Aid box below, I confirm that I am a UK Income or Capital Gains taxpayer. I understand that other taxes such as VAT and council Tax do not qualify. I understand that I must pay an amount of Income Tax and/or Capital Gains Tax in the tax year at least equal to the amount of tax that all the charities and CASCs I donate to, will reclaim on my gifts for that tax year.
Please read the Gift Aid information page before proceeding.
Gift Aid
Yes, I want to Gift Aid my donation Are you connected* to the fundraiser*
Yes No *Connected means
the wife, husband or civil partner
a relative (brother, sister, ancestor (for example, mother) or lineal descendant (for
example, grandson)
the wife, husband or civil partner of a relative
a company under the control of the donor, or under control of connected persons
