Alzheimer's Research Trust
GJ Livanos House, Granhams Road Cambridge CB2 5LQ
Tel: (01223) 843899 Fax: (01223) 843325 e-mail:firstname.lastname@example.org
I WOULD LIKE TO GIVE TAX FREE FROM MY PAY TO:
THE ALZHEIMER'S RESEARCH TRUST
£ per week
£ per month
I already give to charity
by payroll deduction.
No (please tick)
this will be ADDED to existing donations unless otherwise stated.
National Insurance No.
Declaration (This must be completed and signed)
Please deduct a total of £ from my gross pay each pay day as a gift to charity. I confirm that my total gifts to charity through Payroll Giving will not exceed the statutory limit in any tax year and will not be used in payment of a covenanted agreement. I understand that only gifts to organisations with charitable status within the UK can be accepted and that no gifts can be made as a membership subscription or to pay for goods or services supplied.