Gift Aid declaration form

If you pay UK income tax the RSPCA can benefit even more from your donation if you complete a Gift Aid declaration form - it can increase your gift by 28p for every £1 you donate at current tax levels. Please complete the form below, print it and send to:

Dr Alun T Rees, Hon Treasurer RSPCA West Gwynedd,  6 Tan y Buarth, Bethel, CAERNARFON, Gwynedd, LL55 1UP.

Please click one button below
I am not a UK taxpayer
I am a UK taxpayer   (please complete declaration below)
Name of charity: RSPCA West Gwynedd Branch
Reg Charity No:  226126
Title
Forename
Surname
Home Address
Town
County
Postcode
Tel. No.
E-mail address
I want the charity to treat as Gift Aid donations (please check appropriate box):
all my donations from 6 April 2000   
all donations I make from this date until I notify you otherwise   
the donation(s) of (fill in details below)
£ that I made on date

£ that I made on date

£ that I made on date
Remember to notify us if:
  • You no longer pay income tax equal to or greater than  the tax we reclaim on your donations.
  • If you change your name, address or telephone number.
  • You wish to cancel this declaration.