Donation & Gift Aid Form

If you are a UK taxpayer, for every £1 that you donate we can claim an extra 25p from the Government in Gift Aid tax relief at no extra cost to you. For us to be able to claim Gift Aid on your donation you must supply us with at least your name, first line of address and postcode. Please notify us if at any time you wish to cancel this declaration, change your name or home address, or no longer pay sufficient tax.

Please complete this form if you are making an offline donation via cheque or bank transfer.

Donation Amount ^*

Donation Frequncy ^*

Donation Method ^*

Title ^*

First Name ^*

Last Name ^*

Address ^*

City ^*

County

Post Code ^*

Gift Aid Declaration ^*

I want to Gift Aid this donation and any donation(s) I make in the future and have made in the last 4 years.

I confirm that I am a UK taxpayer and that I am paying an amount of Income Tax and/or Capital Gains Tax for each tax year that is at least equal to the tax that The Henry van Straubenzee Memorial Fund will reclaim on my donations in the appropriate tax year.