Supporters Details and Gift Aid
Please note wherever possible we will communicate with you via email.
Title *
Full Name *
Address (including Post Code) *
Telephone (including dialing code) *
Email *
How did you hear about us? *
E.G through a friend, instagram, facebook, search engine etc
What categories do you wish to sponsor? *
E.G. Education, food, housing, Medial/social welfare. Pick one or more, if all please respond FULL.
What gender and age of child would you like to sponsor? *
E.g. Girl aged 4-6 or boy in primary school or no preference etc
Extra needs for your child. *
*If you are a Child Sponsor: very occasionally a need will arise for your child and we may contact you to ask if you can consider helping to meet this need. For example, he/she may require new school shoes or help with an unexpected medical bill. If you are able to help you will then be invited to send a donation via Dwelling Places UK. It is useful to know whether we are able to contact you on these rare occasions.
Gift Aid
I confirm I have paid or will pay an amount of Income Tax and/or Capital Gains tax for each tax year (6th April to 5th April) that is at least equal to the amount of tax that Dwelling Places UK will reclaim on my gifts for that tax year. I understand the charity will reclaim 25p of tax on every £1 that I give on or after 6th April 2008. I confirm that Dwelling Places UK can store my data below for administration purposes.
Please treat as Gift Aid donations all qualifying gifts of money made - please tick all boxes you wish to apply *
Please notify Dwelling Places UK 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.

Data Protection Act 1998
The data collected in this form will be used for the purpose of administration within Dwelling Places UK and Dwelling Places Uganda, including mail outs and subscribing you to 'Snapshot', our e-bulletin. Your data will be deleted/shredded when no longer needed.
I agree to the use on my data as stated above: *
Dated: *
Signed: *
Never submit passwords through Google Forms.
This form was created inside of Dwelling Places UK. - Terms of Service