You may cancel this declaration at any time by letting us know in writing. Please also notify us of any changes in your name or address whilst this declaration is in force.
If you are not a United Kingdom taxpayer, please complete the details immediately below:
I enclose a donation to the Derwent Valley Trust of £________________
Full Name:
Full Address:
(including post code)
If you are a United Kingdom taxpayer and are agreeable to us claiming a refund of tax on your donation(s) please complete the Gift Aid Declaration below.
GIFT AID DECLARATION
(by UK taxpayers donating £10 or more)
Full Name:
Full Address
(including postcode):
I agree to Derwent Valley Trust reclaiming tax on:
*(delete as applicable)
*The enclosed donation of £________
*The donation of £ ________ which I made on ____/____/_______
*All donations I made from the date of this declaration until I notify you otherwise. I enclose my first donation of £ ______
I understand that I must pay an amount of income tax or capital gains tax at least equal to the tax the charity reclaims on my donations in the tax year.
Date:
Signed:
Disclaimer:Void if prohibited by law