Making your donation go further If you are a UK tax payer, Hospice UK can reclaim the tax that you’ve paid on every donation that you make. For every £1 that you give to support our work, Hospice UK gets an extra 25 pence from HM Revenue & Customs, and it won’t cost you a penny. Yes, I am a UK tax payer and I would like Hospice UK to treat all donations I have made for the four years prior to this year and all donations I make in the future as Gift Aid donations, until I notify you otherwise* TitleFirst name Surname Home address PostcodeTelephone Email DateSignature We’d like to keep you informed about our services, events, publications and new initiatives. We will not disclose your details to anyone else. For more information, please visit www.hospiceuk.org/terms-and-conditions. If you prefer not to receive communication from us, please tick this box Please let us know if you’d like to cancel this declaration or if your tax circumstances or name and address details change so that we can amend out records. * I confirm that I have paid or will pay an amount of Income Tax and/or Capital Gains Tax for each year (6 April to 5 April) that is at least equal to the amount of tax that all the charities or CASCs that I donate to will reclaim on my gift for that tax year. I understand that other taxes such as VAT and Council Tax do not qualify. I understand that Hospice UK will reclaim 25p of tax on every £1 that I have given in the past 4 years from the date of this declaration and all future gifts until further notice. Please return this form to: Hospice UK, Hospice House, 34-44 Britannia Street, London WC1X 9JG www.hospiceuk.org ©Hospice UK 2014. Company limited by guarantee, registered in England and Wales No 2751549. Charity registered in England and Wales No. 1014851 and in Scotland No. SC041112. Registered office as above.