PSPA Gift Aid Form

Using Gift Aid means that for every pound you give, we get an extra 25p from HM Revenue and Customs, which makes your donation go much further.

This means that £10 will be turned in to £12.50 if we have a valid Gift Aid declaration for you. Think what a difference that will make and at no cost to you!

The form link provided in your email is unique to you - we use it to link it to your record. Please don't share your link with someone else. If you have any problems submitting the form, please contact us on info@pspassociation.org.uk.

Please make your donation go further and complete this Gift Aid form by filling in the details below.

Salutation

First Name

Last Name

Gender

House Number & Street Address

Town / City

County

Postcode

Email Address

Mobile Number

Gift Aid Declaration

Are you a taxpayer?

Opt Out

Scope - please claim Gift Aid on all my eligible:

Declaration Date

* I understand 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.

PLEASE NOTIFY PSPA 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.

If you are unsure if your donations qualify for Gift Aid, please contact your local tax office, or PSPA at fundraising@pspassociation.org.uk or 01327 322414.

Communication Preferences:

We would like to continue to keep in touch with you to tell you about the vital work we do for people with PSP or CBD, our fundraising activities, and opportunities to support us, as well as the services we provide. We will never sell your data and we promise to keep your details safe and secure. You can read our privacy statement here.

Please select all the ways you would like to be contacted:

I would like to receive communications by email

Yes

I would like to receive communications by post

Yes

I would like to be contacted by phone

Yes

No further contact from PSPA - you do not wish to be contacted by PSPA (By ticking yes, you will not receive our magazine, e-newsletters, Support Group invites, or phone calls - we will not contact through these channels)

Yes

You can change your marketing options at any time by contacting us by email: consent@pspassociation.org.uk; telephoning us on 01327 322 410; or writing to us at PSPA, Margaret Powell House, 415a Midsummer Boulevard, Milton Keynes, MK9 3BN.

Registered charity number England and Wales 1037087 and Scotland SCO41199

Contact Information