Princess Alice Hospice Gift Aid Declaration

Princess Alice Hospice Gift Aid Declaration

This Gift Aid Declaration is only applicable to monetary donations and cannot be used to claim Gift Aid on the donation of sold goods
Fields marked with * are mandatory to complete. If the 'submit' button does not work check you have completed all fields.
Gift Aid makes your gift worth 25% more at no extra cost to you.

By signing up to become a Gift Aid supporter, we can claim an extra 25% for every donation you make. It is free for you and us, so if you are a UK taxpayer, why wouldn't you do it?

Please let us know whether we can claim Gift Aid for your donations by completing the form below.
I am a UK taxpayer and confirm that I want to Gift Aid my donation and any donations I make in the future or have made in the past 4 years to Princess Alice Hospice.*
I understand that if I pay less Income Tax and / or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year, it is my responsibility to pay any difference.

Fields marked with * are mandatory to complete. If the 'submit' button does not work check you have completed all fields.
Your details
Name*

PrefixFirst NameLast Name
Preferred Name
Home Address*

Address Line 1

Address Line 2

City/TownCounty

Postal / Zip CodeCountry
Email*
example@example.com
Telephone Number*
Is this your work, home or mobile?*
Age disclaimer*

Please notify the charity if you:
- Want to cancel this declaration
- Change your name or home address
- No longer pay sufficient tax on your income and/or capital gains
If you pay Income Tax at the higher or additional rate and want to receive the additional tax relief due to you, you must include all your Gift Aid donations on your Self-Assessment tax return or ask HM Revenue and Customs to adjust your tax code.

Please notify Princess Alice Hospice if you become a taxpayer and wish to Gift Aid your donations in the future.

Please submit your Gift Aid Declaration by clicking on the submit button below so we can update our records with the information you have provided.
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Your details