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.

To Gift Aid your donation please complete the form below.

Single Donation, please specify amount

Regular Donation:

I am setting up a bank Standing Order donation to the Chisholme Institute. Please specify amount and frequency (monthly/quarterly/yearly) in box below. Quote FER: DON2020 and if the name on your account is different to your name please let us know.

Details for your regular donation:

Please treat all donations I have made in the last four years and hereafter as Gift Aid donations.

I am a UK taxpayer and I understand that if I pay less Income and /or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in the relevant tax year, it is my responsibility to pay any difference.

MY DETAILS:

Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email*

example@example.com

Phone Number

Area CodePhone Number

Please notify the Chisholme institute if you
• want to cancel this declaration
• change your name or home address
• no longer pay suffiecient 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.

The Chisholme Institute

Roberton, Hawick, Scottish Borders, TD9 7PH, United Kingdom

Tel: +44 (0)1450 880215 Fax: +44 (0)1450 880204

e-mail: secretary@chisholme.org

Website: www.chisholme.org

Charity Gift Aid Declaration