Gift Aid Online Declaration Form

Provide more care and support to patients, families and carers across South East Wales who are living with life-limiting illnesses without paying an extra penny.

Donate, at no extra cost.

You can help us to provide more care and support to patients, families and carers across South East Wales who are living with life-limiting illnesses without paying an extra penny. All you have to do is complete and return the form below and we can claim an extra 25% from the taxman. It really is that simple!

We can reclaim tax on any eligible donations you have made to us in the last 6 years and Gift Aid will also allow us to claim an extra 25p for every £1 you may kindly donate in the future.

Remember: You don’t need to give us one extra penny to release this extra money!

If every supporter who was eligible said yes to Gift Aid today, we would receive an extra £532,200.90* – entirely for FREE! Just imagine what a difference that could make to us and our patients’ lives.

Online Declaration Form

Boost your donation by 25p of Gift Aid for every £1 you donate, at no extra cost to you.

Declaration 1

I want to Gift Aid my donation, any donations I make in the future or have made in the past four years to St David's Hospice Care. I am a UK Taxpayer and 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, that it is my responsibility to pay any difference. (Please tick)

Please notify us

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.

Title

First name

Last name

Address

Town/City

County

Postcode

Email Address

Phone number

Gift-aid Declaration

By ticking ‘Yes’ I confirm that I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax in the current tax year than the amount claimed on all of my donations, it is my responsibility to pay the difference.

Declaration

I am a UK Tax Payer and I would like St David’s Hospice Care to reclaim the tax on all qualifying donations I have made, as well as any future donations, until I notify them otherwise. (Please tick)

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