GIFT AID DECLARATION

GIFT AID DECLARATION

If you are a UK tax payer please complete the from below.
I wish to gift aid this donation for the Fellowship’s Humanitarian programmes.
Your name*

First NameLast Name
Your donation (please enter the amount and currency)
Email*
example@example.com
Rotary Club, if applicable
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date

MonthDayYear
Date
By submitting this form you confirm that you are a UK taxpayer and understand that if you pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all your donations in one tax year it is your responsibility to pay any difference.

Your Personal Information: The Rotary Fellowship of Healthcare Professionals collects personal information about you to process your donation and, where applicable, Gift Aid. The Fellowship will not sell, trade or share your personal information.
Should be Empty: