Blue Skies Hospitals Fund

Blackpool Victoria Hospital

Whinney Heys Road

Blackpool

Lancashire

FY3 8NR

Telephone: 01253 957904

Email:

Web:

I WANT MY DONATION TO WORK HARDER

Using Gift Aid means you can make your donation worth more at no extra cost to you.

We can reclaim the basic rate of tax from HM Revenue and Customs, increasing your donation by approximately 25p for every £1 donated. Please complete and sign this form and send it back to us.

First name: Surname:

Address:

Postcode:

I want to Gift Aid all donations I have made within HM Revenue and Customs time limits and all future donations until I notify you otherwise.

Signature: Date:

By selecting "yes" in the above box, you are confirming that you want to Gift Aid your donation and any donations you make in the future or have made in the past four years to Blue Skies Hospitals Fund.

You are also confirming that youare a UK taxpayer and understand that if you pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all your donations in that tax year, it is your responsibility to pay any difference.

Please notify Blue Skies Hospitals Fundif 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.

How would you like to hear from us?

We really value our relationship with you and would like to stay in touch.

Please use the boxes below to let us know how we can keep you up-to-date on our outstanding work, exciting events and crucial campaigns.

Due to changes in data protection legislation,we soon won't be able to contact you about any of our activities unless we have your explicit consent to keep in touch with you. In other words, if you would like to receive news and updates on our events, campaigns and successes,we need your tick!

Your contact preferences

Please set a preference for ALL options to ensure we only contact you in ways that are convenient to you.

EmailY/NPost Y / NPhone Y / NSMS Y / N

Alternatively, if you do not wish to receive marketing communications from Blue Skies Hospitals Fund at all, please tick here: