Gift Aid declaration Please print out and complete the following form, and send it to Practical Action (see address below) Yes, I want to give at no extra cost to me Supporter Number (if known) Title Address First name Surname Postcode How your information will be used: It is vital to our work with poor communities that we are able to communicate with our supporters. Practical Action holds the information you provide to enable us to process your gift and send you mailings about our work and how you can help. Please t ick the box if you would be happy to receive communications via email. If you would rather not hear from us please email supporterservices@practicalaction.org.uk, telephone free on 0800 389 1624 o r write to Supporter Services Unit, Practical Action, Freepost CV1753 Bourton on Dunsmore, Rugby CV23 9BR. From time to time we would like to share your information We will never supply your information to with organisations we think you might be interested in. If you would rather your name was not included please tick this box. a third party for marketing purposes if you tell us not to. Date Telephone Give more at no extra cost to you E mail The Gift Aid Scheme enables us to claim back any tax already paid on a gift of money, no matter how large or small. Subject to a few rules, you can give Practical Action a sum of money, either as a one -off gift or as part of a regular payment, and we can reclaim the tax. Using Gift Aid means that for every pound you give, we get an extra 25 pence from HM Revenue & Customs. This means that £10 can be turned into £12.50 as long as donations are made through Gift Aid. Imagine what a difference that could make and it doesn’t cost you a thing. If you want your donations to go further Just complete and sign this form and return it to the address below. Please tick here if you would like Practical Action to reclaim the tax on your donations. Yes, I would like Practical Action to treat all donations I have made for the four years prior to this year, including this one and all future donations I make from the date of this declaration until I notify you otherwise, as Gift Aid donations. I confirm I have paid or will pay an amount of Income Tax and/or Capital Gains Tax for each tax year (6 April to 5 April) that is at least equal to the amount of tax that all the charities or Community Amateur Sports Clubs (CASCs) that I donate to will reclaim on my gifts for that tax year. I understand that other taxes such as VAT and Council Tax do not qualify. I understand the charity will reclaim 28p of tax on every £1 that I gave up to 5 April 2008 and will reclaim 25p of tax on every £1 that I give on or after 6 April 2008. Signature _____________________________________________ Date __________________________ Your declaration covers any donation you are kind enough to make to us in the future. Therefore please notify us if you change your name or address You can cancel this declaration at any time by letting us know in writing. You may need to do this if your tax status changes If you pay tax at the higher rate, you can claim further tax relief in your Self -Assessment tax return The tax reclaimed will be used to fund the whole of Practical Action’s work Data Protection Action 1998 Practical Action holds any details you give us for administration and marketing purposes as a Dat a Controller. If you do not wish to receive any future information or updates from us at Practical Action please write to the D ata Controller at the address shown. Please return to: Practical Action, The Schumacher Centre, Bourton on Dunsmore, Rugby, Warwickshire, CV23 9QZ, UK T + 44 (0) 1926 634400 F + 44 (0) 1926 634401 E practicalaction@practicalaction.org.uk W www.practicalaction.org Practical Action is a registered charity and company limited by guarantee. Patron HRH The Prince of Wales, KG, KT, GCB | Registered Charity No 247257 | Comp Reg No871954, England