Help us to stop prostate diseases ruining lives

Giving > Gift Aid Declaration

To make a Gift Aid Declaration, please fill in the details below (*denotes required fields).   The SUBMIT button will return the form to us and you can post your cheque separately.   Alternatively, use the 'Print this page' choice below to print the Declaration, sign it and send it with your cheque.

Title*
Name*
Address*
Post code*
Telephone
Fax
E-mail*
   
Declaration I am a UK taxpayer and I wish Prostate Research Campaign UK (Registered Charity Number 1037063) to treat all my donations to the Charity which are dated after 6 April 2000 as Gift Aid donations unless I notify you otherwise. I understand that I must be paying more in tax than the Charity is claiming by way of rebate.
On-line If wish to make this declaration on-line, please type your name in the box below and click the SUBMIT button.
By post If you prefer to make this declaration by post, please print the form and sign it in the box below.
Note Please make a new declaration if you are uncertain whether you have made one previously.
Signature