Gift Aid Form, Rhoose Community Library and Activity Centre

Thank you for helping Rhoose Library by making a regular donation.
Please complete the form below and when you have finished click the ‘Submit’ button at the bottom.

Charity Gift Aid Declaration – multiple donation
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.

You must tick the first box if you want to Gift Aid your donation. If you select the second box your donation will not be Gift Aided *

I want to Gift Aid my donation at the amount stated below and any donations I make in the future or have made in the past 4 years to Rhoose Community Library (Reg. Charity 1166517). 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 do not want to Gift Aid my donation as below.

Amount in pounds and pence: *

Please enter the amount you want to donate in the following format £.pp

Title: *

Please select the most appropriate title from the drop-down list

Initials: *

First

Last

Please enter your first and second initials in UPPER CASE

Name in full: *

First

Last

Please enter your first name and second or surname

Email: *

Please enter your email address for us to send you details of how to arrange your donations

House or Flat Number or Name *

Please enter your home postal number or house name if you do not have a number

Street or Road Name: *

Please enter the street or road name of your home address

Address line 2

Enter your district or village etc

Postal Town or City: *

Please enter the name of the postal town or city allocated to your home address by the post office

Postcode: *

Please enter you postcode without any spaces

Contact Telephone Number:

Please enter your telephone number including the area code.

Date: *

Please enter the date in the following number format: xx-xx-xxxx. For example 01-01-2018

Website

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 tax
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.