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Single Donation
If you wish to continue to show your support by making a donation today, please ll in this form. Don’t forget, if you are a tax payer and you complete the Gift Aid declaration your donation will be worth an additional 25p for every £1 donation at no extra cost to you. If you’d prefer, you can set up a regular donation by visiting clairehouse.org.uk/donate
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If you wish to continue to show your support by making a single donation, please fill in this form. If you are a UK tax payer, by completing the Gift Aid declaration your donation will be worth an additional 25p for every £1 donation at no extra cost to you. If you would like to make your donation more regular, please see the page opposite.
I wish to make a single cash gift of
Gift aid declaration
Gift aid declaration
To make your gift by phone call 0151 343 0883 or donate online at
To make your gift by phone call 0151 343 0883 or donate online at clairehouse.org.uk/donate clairehouse.org.uk/donate
Please make every pound you give worth an extra 25%
Please make every pound you give worth an extra 25%
Please make cheques payable to ‘Claire House’, or give your card details here:
Please make cheques payable to ‘Claire House’, or give your card details here:
I wish to make a single cash gift of Card No.
Card No.
Card Type: Mastercard Visa Maestro CAF Card M M Y Y
Card Type: Mastercard Visa Maestro CAF Card M M Y Y
I am a UK taxpayer - Please reclaim Gift Aid on my donation/all future donations/donations I have made in the last 4 years. If I pay less income Tax and/or Capital Gains Tax in the current tax year than the amount of Gift Aid claimed on all donations, it is my responsibility to pay any di erence.
I am a UK taxpayer - Please reclaim Gift Aid on my donation/all future donations/donations I have made in the last 4 years. If I pay less income Tax and/or Capital Gains Tax in the current tax year than the amount of Gift Aid claimed on all donations, it is my responsibility to pay any di erence.
Name on card:
Maestro issue No: Expiry date: Date:
I am not a UK taxpayer - please do not reclaim Gift Aid on my donation.
No, I am not eligible to Gift Aid my donations.
Signature:
Maestro issue No: Expiry date: Date: Signature: Phone:
Phone:
Email:
Name on card: Email:
Date: Charity No. 1004058
Date: Registered Charity No. 1004058
Claire House would like to contact you about fundraising, future events and how your support makes a di erence. You can opt out at any point by contacting us on 0151 343 0883 or at giving@clairehouse.org.uk. For more information on how we use your data, please refer to the Privacy Notice on our website.
Claire House would like to contact you about fundraising, future events and how your support makes a di erence. You can opt out at any point by contacting us on 0151 343 0883 or at giving@clairehouse.org.uk. For more information on how we use your data, please refer to the Privacy Notice on our website.
