Donation Form
Myrtle Ellis Fund
Using Gift Aid means that for every £1 you give,
the charity will receive an extra 25 pence from the
Inland Revenue, helping your donation go further.
This means that £10 can be turned into £12.50
just so long as donations are made through Gift
Aid. Imagine what a difference that could make, and
it doesn’t cost you a thing.
Simply complete this form and send it along with
your donation to The National Brain Appeal declaring
that we can claim the tax back on your donation.
Donor’s details
Title
First name
Surname
Home address
Postcode
Email
Phone
Please tick either or both boxes as appropriate
I would like to make a donation to
The National Brain Appeal - Myrtle Ellis Fund
I would like to Gift Aid my donation, all donations
I have made to The National Brain Appeal for the
four years prior to this year and all donations in
the future until I notify you otherwise.
To qualify for Gift Aid, you must pay an amount of Income Tax
and/or Capital Gains Tax for each tax year (6 April one year to
5 April the next) that is at least equal to the amount of tax that
the charity will reclaim on your donations for that tax year.
Signed
Dated
Please complete the form and return with your
donation to:
Please make cheques payable to:
The National Brain Appeal
The National Brain Appeal, Box 123,
Queen Square London WC1N 3BG
T 020 3448 4724
F 020 3448 3698
info@nationalbrainappeal.org
www.nationalbrainappeal.org
The National Brain Appeal is the working name of
The National Hospital Development Foundation.
Registered Charity Number 290173
Gift Aid
You must pay an amount of Income Tax and/or
Capital Gains Tax for each tax year (6 April one
year to 5 April the next) that is at least equal to
the amount of tax that the charity will reclaim
from HM Revenue & Customs on your Gift Aid
donations for that tax year. For every £1 given,
the charity will currently reclaim 25p of tax.
Tax claimed by the charity
The charity will reclaim 25p of tax on every £1
you give on or after 6 April 2008.
Please notify the charity if you:
1. Want to cancel this declaration.
2. Change your name or home address.
3. No longer pay sufficient tax on your income
and/or capital gains.
If you pay income tax at the higher rate, you must
include all your Gift Aid donations on your Self
Assessment tax return if you want to receive the
additional tax relief due to you.
The National Brain Appeal
Box 123, Queen Square
London WC1N 3BG
T 020 3448 4724
F 020 3448 3698
info@nationalbrainappeal.org
www.nationalbrainappeal.org
The National Brain Appeal is the working name of
The National Hospital Development Foundation.
Registered Charity Number 290173
For donations received up to 5 April 2008, where
Gift Aid applied, the charity will reclaim 28p of tax
on every £1 you gave.
Our website: www.nationalbrainappeal.org also
has details regarding Gift Aid.