Printable form

DISH

Donation Form registered charity number 1061702

Name (Mr/Mrs/Miss/Ms)

Address

Postcode

Telephone

Email

I wish to donate £10 or my preferred amount of £ __________________________________________

I enclose my cheque/postal order payable to:

Disability Information Service Huntingdonshire

If you are a UK taxpayer, under the Government’s Gift Aid scheme Disability Information Service Huntingdonshire can reclaim the tax you have already paid on your gift. This means that your donation can increase in value by nearly a third at no extra cost to you. Please tick the box below if you would like Disability Information Service Huntingdonshire to reclaim the tax on your gift.

□ Please treat this and any future donations I make to Disability Information Service Huntingdonshire as Gift Aid donations.

* It doesn’t matter what rate of tax you pay as long as you pay an amount of income or capital gains tax equal to the tax we reclaim on your donations in that financial year. Please remember to inform us of any changes in your tax status.

Signature(s) Date

Please return this donation form to:

DISH, Pendrill Court , Papworth Everard, Cambridgeshire, CB23 3UY

□ Please tick this box if you require an acknowledgement

Thank you for your support