Wembley Lions Club CIO - Donation Form

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Boost your donation by 25p of Gift Aid for every £1 you donate

My Personal Details

We require these details to record your donation and make a Gift Aid Claim, if you have agreed.

Title *

First Name *

Last Name *

Address *

Post Code *

Telephone number

(OPTIONAL - Only to enable us to contact you if there is a problem)

Email address

(OPTIONAL - Only to enable us to contact you if there is a problem)

Donation Amount (£) *

Every penny donated goes to charity without any deductions for expenses by OUR CLUB. Give generously.

Please tick any one that applies *

This donation and any donations I make in the future to Wembley Lions Club CIO

This donation and any donations I make in the future or have made in the past 4 years to Wembley Lions Club CIO

I cannot gift aid as I am not a tax payer.

Declaration

I confirm that I am a UK Income or Capital Gains taxpayer. I have read this statement and would like Wembley Lions Club CIO to reclaim tax on the donation detail above, given on the date shown. I understand that I must pay an amount of Income Tax and/or Capital Gains Tax in the tax year at least equal to the amount of tax that all charities I donate to, will reclaim on my gifts for that tax year. I understand that other taxes such as VAT and Council Tax do not qualify. I understand the charity will reclaim 25p of tax on every £1 that I have given. For further information on Gift Aid please visit www.hmrc.gov.uk

Please notify the charity if 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

Privacy statement and data collection notice

Wembley Lions Club CIO is committed to ensuring that your privacy is protected and that data collected will only be used in accordance with our privacy policy. All personal data collected by Wembley Lions Club CIO within this form is collected to enable Wembley Lions Club CIO to process your donations and/or gift aid in accordance with your instructions. The data you provide is used for the following purposes:
• Recording of individual donations and maintenance of running totals
• Reporting of donations for Gift Aid collection and maintenance of accounting records. We may contact you if there is a query relating to your donation.
To find out more about our full privacy notice please visit our website. www.wembleylions.org.uk

HOW TO MAKE YOUR DONATION

PLEASE MAKE YOUR DONATION BY BANK TRANSFER TO THE FOLLOWING AND SUBMIT THIS FORM;

Metro Bank
Account name : Wembley Lions Club CIO Charity Acnt.
Sort Code: 23-05-80
Account No. : 40782370
Ref: your name and surname (DONT FORGET)

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