To Give to KDC Through Your Pay, Please Complete This Form

Our Vision is to see communities where all people are included,live independently and are valued as equal citizens /
Our Mission is to provide high quality innovative services that supportdisabled people to exercise their rights have choice control and achieve independence

Giving to KDC through your pay

To give to KDC through your pay, please complete this form

Your details
Please fill in your full name and address in block capitals here / Your employer’s details
Employers payroll department
Mr/Mrs/Miss/Ms
First Name(s) / Contact Name
Last Name / Job title
Address / Company Name
Postcode / Address
Home telephone
Work telephone
Email is a cost-effective way of communicating with supporters. If you are happy to receive email updates from us please tick this box and enter your details below
Postcode
Email / Employer’s telephone number
I would like to donate (please tick)
£5 / £10 / £15 / Other(please state) / £
to KDC: / Weekly / Monthly
(please tick)
This increases my total donations through Payroll Giving (i.e. including any donations to other charities) to / £

PLEASE NOTE: For the following section, please refer to your Personnel Department for information.

We will not be able to process your donation without the details requested below.

Staff/Employee number
I confirm that my employer is registered with Give As You Earn (GAYE) YES/NO (delete as applicable)
(If no, please contact your Personnel Department to set up the scheme. Employers who do not currently operate the scheme but would like to find out more should contact the Charities Aid Foundation (CAF) on 01732 520 000.)
Name of Employer’s Payroll Giving Agency
Please deduct a total of / £ / from my gross pay each pay day as a gift to charity..
I confirm my understanding that no further tax is recoverable on this gift I understand that only gifts to organisations with charitable status within the UK can be accepted and that no gift can be made as a membership or to pay for goods or services supplied.
Signature / Date

Please send this completed form to:

KDC, Payroll Gifts, 263a Tarbock Road, Huyton, L36 0SD

Registered Charity Number: 1103477