If you would like to make a donation to the South Essex Wildlife Hospital, please print out this form and post it to SEWH. You can complete the form on-screen and then print it out and sign it, or print out the blank form and then complete it, whichever you prefer. You can either send a cheque or postal order or fill in the standing order form below. To print the form, just fill it in and then right click it & select print.
House Name or Number and Street
Town or City
INSTRUCTION TO YOUR BANK/BUILDING SOCIETY
To the Manager
Bank/Building Society Name
Name(s) of account holder(s)
Your account number
Please pay South Essex Wildlife Hospital the sum of £ per month quarter year
(please select as appropriate) until further notice.
The South Essex Wildlife Hospital bank details are:
Lloyds TSB Bank plc, 34 High St, Grays, Essex, RM17 6LX
Account No:_________________ ; Sort Code: 30-93-61
I/We enclose a Cheque/Postal order for the sum of £
Please make all cheques or Postal orders payable to South Essex Wildlife Hospital
Use Gift Aid and you can make your donation worth more. For every pound you give to us, we get an extra 25 pence from the Inland Revenue. Please select the appropriate boxes opposite.
Please treat as Gift Aid donations all qualifying gifts of money made to South Essex Wildlife Hospital: TodayIn the past 4 yearsIn the future
I confirm I have paid or will pay an amount of Income Tax and/or Capital Gains Tax for each tax year (6 April to 5 April) that is at least equal to the amount of tax that all the charities or Community Amateur Sports Clubs (CASCs) that I donate to will reclaim on my gifts for that tax year. I understand that other taxes such as VAT and Council Tax do not qualify. I understand the charity will reclaim 28p of tax on every £1 that I gave up to 5 April 2008 and will reclaim 25p of tax on every £1 that I give on or after 6 April 2008..
Please notify the charity 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.
Please return to: South Essex Wildlife Hospital, P.O. Box 8, Grays, Essex, RM17 5FF
Tel 01375 893893.
The South Essex Wildlife Hospital is a registered charity ( number 1093545 )
Become a member and make a regular contribution to help our work
Click HERE for details