AvMA - Expert Donation 2023-24 appeal (Offline donations)

YES, I would like Action against Medical Accidents to claim gift aid on this donation and any donations made from the four years prior to this date, and all future donations I make from the date of this declaration until I notify you otherwise. I confirm I am a UK taxpayer and 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 it is my responsibility to pay any difference. I confirm that this donation is made from my own personal income and not that of a Limited Company or Partnership. ______________________________________

No. I confirm I do NOT wish to Gift Aid my donation

Please notify AvMA if you: Want to cancel this declaration | Change your name or home address | No longer pay sufficient tax on your income and/or capital gains | If you pay Income Tax at the higher or additional rate and want to receive the additional tax relief due to you, you must include all your Gift Aid donations on your Self-Assessment tax return or ask HM Revenue and Customs to adjust your tax code.

Expert Donation 2023-24 appeal (Offline donations)

Expert Donation Form 2023-24

Donation Details

Details for direct bank payment (BACS, Faster Payment or CHAPS):

Regular Donation

Instruction to your bank or building society

Please pay: Co-operative Bank plc, Delf House, Southway, Skelmersdale WN8 6NY Payee: Action against Medical Accidents Sort code: 08-92-99 Account number: 65583630

Your details

Gift Aid