One off donation - Cransley Hospice Trust

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Amount to donate (£)*

Donation type*

Donation in memory of/ event name/ any other information:

Name*

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Address*

Address (line 1) Address (line 2) City / Town County Postcode Country

Email*

Phone

Phone number is optional but helps if there any queries about your donation

Gift Aid

Gift Aid Declaration

Your donation will be increased by 25% with Gift Aid with no extra cost to you.

I am a UK taxpayer and I would like Cransley Hospice Trust to treat this donation and any donations I make in the future and have made in the past 4 years as Gift Aid donations, until I notify you otherwise. I 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 Cransley Hospice Trust will reclaim 25p of tax on every £1 that I give. Gift Aid is reclaimed by Cransley Hospice Trust from the tax I pay for the current tax year. Please let us know if your tax circumstances or name and address details change so we can amend our records.

I am NOT a UK taxpayer

DATA PROTECTION Cransley Hospice Trust value your support and promises to respect your privacy. The data we gather and hold is managed in accordance with the Data Protection Act (1998). We will not disclose, or share personal details with any third party organisations.

We will keep you updated on our services, fundraising events and activities so that you can know what a difference donations make: Please tick how would you like to have this information

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