To Gift Aid The Pied Piper Appeal, please click here to print this page, complete it and return it to -
The Pied Piper Appeal Office
Gloucestershire Royal Hospital
Great Western Road
Gloucester
GL1 3NN
Title: Mr / Mrs / Miss / Ms / Other: __________
Full Name: ________________________________________________________________
Address: ________________________________________________________________
________________________________________________________________
Post Code: __________
£ __________ donation
I confirm that I am a UK taxpayer and I wish The Pied Piper Appeal to reclaim my tax as gift aid.
Signature: ______________________________
Date: ____________________
Thank you for your support!
All the data we hold is managed in accordance with The Data Protection Act (1998). We will not disclose any information supplied by you to any third party. We may wish to contact you with information about the charity. If you do not wish to receive any such information, please tick this box.
Gift Aid is a Government initiative enabling charities to reclaim the tax paid on your donation.
I am a UK resident and have paid enough Income Tax and/or Capital Gains Tax at least equal to the tax that the charity reclaims on my donations in the appropriate tax year (currently 28p. for every £1.00 you give).
I wish the charity to treat all donations that I have made for the six years prior to this year, (but no earlier that 6/4/2001) and all donations I make in the future, until I notify you otherwise, as Gift Aid donations.
Registered charity number 1011611