Age Concern throughout Herefordshire and Worcestershire

We would be very grateful for any donation, which can be sent to our Office (here) or you can donate on-line via the Charities Aid Foundation (here)

Your gift will be worth more if you sign a Gift Aid declaration, which will allow us to reclaim tax from the Inland Revenue at no extra expense to you.  Please print and sign the form below, and return it with your donation.

Age Concern Malvern and District  

Name and address of donor (in capitals please):

.........     .........................................................................................

(title)                           ( forenames and surname)

Address   ..........................................................................................

......................................................................................................

.......................................................    Post code  ..............................

I want you to treat:

 (a)    this donation of £ ..............  which I have made to you, Age Concern Malvern and District on:

..........     ...........      ...........
  (day)        (month)        (year)

and

 (b)    all donations I make to you thereafter, until I notify you otherwise

as Gift Aid donations.

Signature of donor   ...........................................    Date  .....................

Notes to donor: You must pay an amount of income tax and/or capital gains tax at least equal to the tax that the charity reclaims on your donations in the tax year to 5^th April (currently 28p for each £1 you give). You can cancel this declaration at any time by notifying the charity. If in the future your circumstances change and you no longer pay tax equal to the tax that the charity reclaims, please cancel your declaration. Please notify the charity if you change your name or address.