We really appreciate your help and every penny counts.
Thank you!
Gift Aid Form
Increase your donation at no extra cost to you.
If you are a UK taxpayer, consent to Gift Aid and Dementia First will be able to reclaim the tax already paid on your donation.
I confirm that I am a UK taxpayer and I understand that if I pay less Income Tax and/or Capital Gains Tax in the current tax year than the amount of Gift Aid claimed on all my donations it is my responsibility to pay the difference. Please notify Dementia First, if you: want to cancel this declaration; change your name or home address; or 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.
By completing this form, you are confirming that your donation is eligible for Gift Aid. This is my own money. I am not paying in donations made by a third party e.g. money collected at an event, in the pub, a company donation or a donation from a friend or family member. I am not receiving anything in return for my donation e.g. book, auction prize, ticket to an event. I am not making a donation as part of a sweepstake, raffle or lottery.
