SMU3A Gift Aid Form – electronic version – Shepton Mallet U3A : Registered Charity Number 1158730 : All rights reserved : Hosted by TSOHost.com :

Shepton Mallet u3a

Registered Charity No 1158730

Boost your membership fee/donation by 25p of Gift Aid for every £1
Gift Aid is reclaimed by the charity from the tax you pay for the current tax year. Your address is needed to identify you as a current UK taxpayer

In order to Gift Aid your membership fee/donation, you must tick the box below

I want to Gift Aid my membership fee/donation and any donations I make in the future or have made in the past 4 years to Shepton Mallet u3a. I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year it is my responsibility to pay any difference.

Title

Forename or initial(s)

Surname

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Please notify us if you:

Want to cancel this declaration.
Change your name, home address or other contact details.
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.

Submitting this form constitutes your agreement that you want to Gift Aid your membership fee/donation, and your agreement that Shepton Mallet u3a can collect the Gift Aid.