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Email Address

First Name

Last Name

Telephone Number

Door Number

Address 1

Address 2

City

Postcode

I am a UK taxpayer and agree to SAVE ONE LIFE claiming Gift Aid on all past, present, and future donations. I confirm that I pay enough Income Tax and/or Capital Gains Tax to cover the amount SAVE ONE LIFE will reclaim for the tax year. 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 in that tax year, I am responsible for any difference.

No, please do not claim Gift Aid on my donations

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I confirm that these details are correct

Donor Details & Gift Aid Declaration

Time Limit Reached