If you Gift Aid your donations by completing this form, ReachAcross can reclaim from HMRC the tax you paid on your donations.
Your Title (required) Your First Name (required) Your Last Name (required) Your Email (required) Your Telephone number (required as this helps us contact you if we have a query) Address - Please include postcode and country (required)
Declaration: 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 back to HMRC. I understand that ReachAcross will reclaim 25p of tax on every £1 that I have given.

I want ReachAcross to treat as Gift Aid donations:
all donations I make from this date (indicated below) until I notify you otherwise: all donations I made in the past four years and all donations I make from the date of this declaration until I notify you otherwise.

Other (please specify.) Today's Date*: Signed* (Print your full name): * Required information I would prefer ReachAcross to apply reclaimed Gift Aid:
to be used where most needed to the same destination as the original donation

1.Please notify ReachAcross 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. 2.If you pay higher rate tax you can claim further tax relief in your Self Assessment tax return. 3.Gift Aid can only be reclaimed if the gifts are payable to the charity and used at the discretion of the trustees. The donor may however express a wish for the gifts to be used in a particular way and ReachAcross will endeavour to follow their wish. 4.If your donation is from a joint account, please ensure that all gifts are signed by the person named in this declaration.

I confirm am 16 years old or over, and consent to ReachAcross securely storing the personal information I am submitting in this online form.

ReachAcross (UK) is a registered charity in England and Wales: 1148692 and a company limited by guarantee: 7900867 Registered Office: 6 Station Court, Station Approach, Borough Green, TN15 8BG.