Gift Aid for donations

Gift Aid Declaration - please complete if you are a UK Tax Payer

Did you know? Donations are worth 25% more with a Gift Aid declaration at no extra cost to our supporters.

We reclaim Gift Aid from the tax you pay for the current tax year. Your address is needed to identify you as a current UK taxpayer.

"*" indicates required fields

Name*

Title First Last

Address*

Street Address Address Line 2 City County Postcode

Phone

Date of birth

Email*

Signature

Date

By signing this form I agree that:*

I confirm I want Havens Hospices to Gift Aid any donations I make in the future or those made in the past 4 years. I confirm I am a UK taxpayer and have paid the same amount or more in Income Tax or Capital Gains Tax, than the amount of Gift Aid claimed on all my donations to any charities in that tax year, I confirm it is my responsibility to pay any difference.

I am happy to be contacted by Havens Hospices by:

post

phone

email

You’re in charge of what information Havens Hospices has about you, and what you want to receive from the charity. Everything is laid out in our Privacy Policy which you can read on our website. But you can change how we contact you by emailing changeme@havenshospices.org.uk, visiting havenshospices.org.uk/update or calling 01702 220 345. Don’t forget to let us know if any of your details or circumstances change!

Please notify us if:

You want to cancel this declaration.
Change your name or home address or home address.
No longer pay sufficient tax on your income and/or capital gains. If you pay Income Tax at a 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.