Gift Aid declaration form

Increasing the value of your gift at no extra cost to you:

To enable us to claim back the tax already paid on your donations, and add 28p to every £1 you donate, please complete the Gift Aid declaration below. This will help us to carry out more research and provide information and support for more people affected by stroke who desperately need our help.

Please note that you can cancel this declaration at any time by contacting us. You can view Gift Aid information here.

* denotes a required field

I agree to all my gifts in the last four years and any future gifts being eligible for Gift Aid. I have paid tax at least equal to the value of tax to be reclaimed, currently 28p per £1.

Date *

Your Title

Full Name *

Address *

Postcode *

Email Address

The Stroke Association would like to keep you informed about the work we are helping to make possible. Please choose 'Yes' if you are happy for us to contact you.

We will sometimes allow other organisations whose aims are in sympathy with our own to contact our supporters. Please choose 'Yes' if you are happy for these organisations to contact you.

Are you happy for us to send you information about The Stroke Association's work by email?