In Memory Donation

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Donation Details

Make a regular donation to us in memory of someone special

Your Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City County Postcode

Please tick this box if you would rather not receive a postal acknowledgement of your kind gift

Please tick this box if you would rather not receive a postal acknowledgement of your kind gift

Amount to donate(Required)

This is a donation in memory of...(Required)

They lived in (town/city if known)

Their Relationship to you

Relationship:

Are you a - Individual / Group / Company(Required)

Group/Company name

Gift Aid

I want to Gift Aid my donation and any donations I make in the future or have made in the past 4 years to Air Ambulance Charity Kent Surrey Sussex. I understand the charity will reclaim 25p of tax on every £1 that I give. 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. I understand that other taxes such as VAT and Council Tax do not qualify. Please notify the charity if you want to cancel this declaration, change your name or home address, or no longer pay sufficient tax on your income and/or capital gains.

Gift aid 2

This is my own money, I am not paying in donations made by a third party, e.g. money collected at an event, the pub, a company donation or donation from a friend or family member

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I am not receiving anything in return for my donation, e.g. book, auction prize, ticket to an event

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I am not making a donation as part of a sweepstake, raffle or lottery

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