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

Your address is needed to identify you as a current UK taxpayer.

Please notify the charity 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

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 HM Revenue and Customs to adjust your tax code.

Thank you for supporting the Childhood Eye Cancer Trust (CHECT).

Sign in to Google to save your progress. Learn more
In order to Gift Aid your donation you must confirm the following by ticking all 4 boxes below:
1. I want to Gift Aid my donation & any donations I make in the future or have made in the past 4 years
 *
Required
2. I'm donating my own money & the funds have not come from anyone else or from a collection
 *
Required
3. The funds I'm donating are not the proceeds from sales of goods, services or the sale of tickets
 *
Required
4. I have not received something in return for this donation such as an event ticket or raffle ticket
 *
Required
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. *
Required
First Name *
Surname: *
First line of address *
Postcode *
Email Address: *
Telephone number: *
By ticking the box below, you are signing your online Gift Aid Declaration: *
Required
Please enter today's date: *
MM
/
DD
/
YYYY
GDPR Contact Consent

Childhood Eye Cancer Trust only wants to communicate with our supporters in the way they choose.  If you would like to view or change the way in which we may contact you please complete our contact preferences form.  CHECT will never pass your details onto third parties or share them with other organisations without your permission (unless required to by law), other than to those engaged in the delivery of our services and then only for a specified purpose.  You can view our full Privacy Notice here.

Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms