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I want to contribute this amount every month

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Gift Aid Declaration

I authorise ASSIST to claim gift aid on any donations I make now or in the future, and on any donations I have made in the last four years. No (NB: this will not cancel an existing gift aid declaration. Please contact Assist if you need to do that)

By ticking the box I confirm 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.

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 NOTE: If you have already made a Gift Aid Declaration to Assist, leaving this box un-ticked will NOT cancel it. Please contact Assist if you want to cancel. Thank you