Donations

Donation Amount

£10
could fund one-to-one expert advice on social care
£30
could provide six hours of friendship calls
£50
could fund specialist training on bereavement
Other

YES, I would like to Gift Aid my donation. I am a UK taxpayer and would like Independent Age to reclaim the tax on donations that I have made in the past four years and any future donations until I notify you otherwise. I understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations to charity in that tax year it is my responsibility to pay any difference.

I confirm the following:
I want to join the Gift Aid scheme
I am donating my own money and the funds have not come from anyone else including family members or from an office or bucket collection.
The money I am donating is not the proceeds from sales of goods or services or the sale of tickets.
I have not received something in return for this donation such as an entry ticket to an event or a raffle ticket.

I will tell Independent Age if I am no longer eligible to claim Gift Aid or if my name or address changes. You can cancel your declaration at any time by calling 020 7605 4223 or emailing supporters@independentage.org

Contact Information

Name

Title (Optional)

First Name

Last Name

Organization Name

Contact Information

Address 1

Address 2 (Optional)

Country

Town/City

County (Optional)

Post Code

Phone Number (Optional)

Email Address

Confirm Email Address

Please sign me up for emails about upcoming supporter events, volunteering and fundraising initiatives
I give Independent Age permission to contact me by telephone
I give Independent Age permission to contact me by SMS

In accordance with the 1998 Data Protection Act, Independent Age will hold your details for administrative purposes and to provide you with updates about our activities and appeals and what you are helping us achieve.

I do not want to receive any further communication from Independent Age, including your newsletter.

What prompted you to donate to Independent Age today?

Payment Information

Card Holder Name

Card Number

Expiry MM

Expiry YY

CVV (?)

Bank Name

Bank ID

Cheque Number

Transit Number

Account Number

Thank you for your generous support

Donation Amount

I will tell Independent Age if I am no longer eligible to claim Gift Aid or if my name or address changes. You can cancel your declaration at any time by calling 020 7605 4223 or emailing supporters@independentage.orgContact Information

Name

Contact Information

Payment Information

I will tell Independent Age if I am no longer eligible to claim Gift Aid or if my name or address changes. You can cancel your declaration at any time by calling 020 7605 4223 or emailing supporters@independentage.org

Contact Information