Gift Aid declaration form

Using Gift Aid means that for every pound you give, we get an extra 28 pence from HM Revenue & Customs, helping your donation go further, and it doesn’t cost you a thing. If you are a UK taxpayer, please Gift Aid your donations.

If you are a UK taxpayer, we can reclaim the tax on your donation if you sign the following Gift Aid declaration. Print and complete this page (in CAPITALS and black ink) and return it to us

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1. Your name

Your title (Mr/Mrs/...): __________________________________________

Your first name(s): __________________________________________

Your last name: __________________________________________

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2. Your contact details

Address Line 1: __________________________________________

Address Line 2: __________________________________________

Address Line 3: __________________________________________

City/Town: __________________________________________

County: __________________________________________

Post code: _____________________

Telephone number: _____________________

Alternative telephone number(s): _____________________

Please enter your e-mail address (if any): __________________________________________

[please note: we need at least the first line of your address and your post code to reclaim Gift Aid]

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3. Gift Aid declaration

[Please tick ALL boxes that apply]

I am a UK tax payer and I want the charity to treat:

[  ] all donations I've made to The Down Syndrome Educational Trust since 6 April 2000 and all donations I make in the future until I notify you otherwise

[  ] all donations I make from this date

[  ] the enclosed donation of £_____________________ (amount)

[  ] the donation of £_____________________ (amount) which I made on _____________________ (date)

as Gift Aid donations.

I am a UK taxpayer and will advise the Trust if this situation changes. I understand that the amount I pay in income tax or capital gains tax must at least equal the amount the Trust reclaims in that tax year.

Signed: __________________________________________    Date: _____________________

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4. Keep me informed

If you would like us to keep your contact details on file and inform you of the Trust's activities, products and service please tick all statements that apply below:

[  ] keep me informed of the Trust's activities

[  ] keep me informed of the Trust's products and services

Privacy and Data Protection: Unless you have ticked one of these boxes, we will only use the information you provide on this form for the purposes of reclaiming Gift Aid.

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5. Fax or post this form

Print this form and either:

• fax it to us on: 023 9285 5320
• or post it to us at: The Down Syndrome Educational Trust, The Sarah Duffen Centre, Belmont Street, Southsea, Hampshire, PO5 1NA.