Gift Aid declaration form

Boost your donation by 25p of Gift Aid for every £1 you donate Gift Aid is reclaimed by our charity from the tax you pay for the current tax year.

Your address is needed to indetify you as a UK taxpayer.

By completing this form, you confirm that you want to Gift Aid your donation, and any donations you make in the future or have made in the past 4 years to Suffolk Mind.

Please confirm that you are a UK taxpayer, and you understand that if you 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(Required)

I confirm and have understood the above

Please enter the amount you are donating today(Required)

Title(Required)

First Name(Required)

Last Name(Required)

Phone Number

Postcode(Required)

Select address

Address (Line 1)(Required)

Address (Line 2)

Town/City(Required)

County

Country(Required)

Email Address(Required)

Enter Email Confirm Email

Would you like to receive (or continue to receive) our newsletters?

I would like to receive the ‘Supporting Suffolk Mind’ newsletter

I would like to receive the ‘Supporting your organisation’ newsletter

Please notify Suffolk Mind if you want to cancel this declaration, change your name or home address, or 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 HMRC to adjust your tax code.(Required)

I have read and understood the above

Name

This field is for validation purposes and should be left unchanged.

Gift Aid declaration form

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