PSPA Online Join Us Form for Fundraisers

Once we have received your form one of our Fundraising Team will be in touch and you will also automatically receive our PSPA Matters Magazine and regular updates.

Contact Details

Salutation

First Name

Last Name

Preferred Name (nickname)

Address Street

Address Town / City

Address County

Address Postcode

Email Address

Please provide either a mobile or home phone number.

Mobile Number

Home Phone

Preferred Phone

How did you hear about PSPA

Introduction From

Further Information

Sex

Pronouns

Ethnicity

Date of Birth

Your link to PSPA (if relevant)

What is your link with PSPA:

Name of your family member/friend who has PSP or CBD

You are their: i.e. daughter, nephew, wife etc.

What fundraising opportunities interest you?

Please tick all that apply:

Active challenges - e.g. walking, running, parachutingCommunity fundraising - organise your own fundraiser in your community - e.g. coffee mornings, quiz nights, bucket collection.Corporate fundraising - e.g. nominate us to be your company's charity of the year, give a company donation, encourage employees to fundraise for us, etc.Leaving a gift in your WillAd-hoc donations and appealsRegular giving - e.g. donating by monthly direct debitVolunteering at eventsCharitable Trusts and FoundationsOther

If you selected 'Other,' or have fundraising opportunites that interest you which are not listed, please share them here.

We are always keen to hear what our supporters are doing to raise funds for PSPA. If you would like to tell us about your fundraising plans, or would like our advice and support with fundraising, please contact us at fundraising@pspassociation.org.uk, or call 01327 322414.

Gift Aid Declaration

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!

Are you a taxpayer?

Opt Out

Scope - Please claim Gift Aid on all my eligible:

Method

* 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.

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

I would like to receive communications by email

I would like to receive communications by post

I would like to be contacted by phone

No Further Contact from PSPA:

I do not wish to be contacted by PSPA (By ticking this box you will not receive our magazine, e-newsletters, Support Group invites, or phone calls - we will not contact through these channels)

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