Gift Aid Declaration Online Form

Thank you for choosing to sign up for Gift Aid online.

Bury Hospice will receive an extra 25p for every £1 you donate under the Gift Aid scheme, at no extra cost to you. Please fill in our short form below to make your Gift Aid declaration.

Gift Aid Online Form

First name *

Last name *

Address line *

City/Town *

Postcode *

Email Address *

Phone Number *

I want to Gift Aid my donation and any donations I make in the future or have made in the past four years to Bury Hospice, until I notify you otherwise. 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 it is my responsibility to pay any difference. I understand that Bury Hospice will reclaim 25p of tax on every £1 that I give.

Keeping in touch

We would like to contact you with information about upcoming fundraising activities and how your support is helping patients and their families across Bury. Please tell us if you are happy for us to do this (tick relevant boxes):

Phone

Post

We might also occasionally send information in the post about ways you can support us - you can change your contact preferences at any time by calling us on 0161 797 1748 or emailing supportercare@buryhospice.org.uk Bury Hospice is committed to protecting your privacy. We promise to respect your privacy and that the data we gather and hold are managed in accordance with the Data Protection Act (2018). For more information on how we manage your data, please see our privacy policy. Our full privacy notice can be found here.

If your gift aid status changes

Please notify Bury Hospice if you:

Want to cancel this declaration
Change your name or home address

If you pay Income Tax at the higher rate, you must include all your Gift Aid donations on your Self Assessment tax return if you want to receive the additional tax relief due to you.

Submit