Donation Form

Postal donations

If you wish to make a donation by post, please complete and print this form and send it to:

Against Breast Cancer
B363 Curie Avenue
Harwell Science & Innovation Campus
Oxon
OX11 0RA

Making cheques or postal orders out to Against Breast Cancer.

Donation

Donation amount: £

Details

Title :
Forename :
Surname :
Address :
Postcode :
Telephone :
Email :

Credit Card Details

NB. You only need to fill this section if you wish to pay by credit card.
(You can do this securely using our online donation form).

Card Type :
Visa Mastercard Amex Switch Delta
Card Number :
Start Date :
Expiry Date:
Issue Number : [switch only]

Gift Aid Declaration

No matter how large or small, as long as you pay income tax and/or capital gains tax, ABC can claim back tax of 28% from the Inland Revenue.
Click here for more info on Gift Aid.
I am not a tax payer therefore tax cannot be reclaimed on my donation
Please treat the enclosed and all future donations as Gift Aid donations
NB. Please remember to notify us if you stop paying income tax or capital gains tax equal to the tax we reclaim on your donation.

Please tick if you would like any information on the following:

Fundraising 
Bankers Order with Gift Aid
Leaving a legacy to ABC
Give as You Earn
If you prefer not to receive future mailings, please tick this box.

I understand that Against Breast Cancer will hold and use the data provided by me for administration purposes, to keep me informed of its activities and for occasional ABC fundraising appeals. ABC will not divulge this information to any third parties.

Signature :

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

NB. If you do not have access to a printer, cheques or postal orders can be sent to the address above. Please provide a covering letter providing your name,address, signature and requests, if you wish to receive any further information or give using gift aid.

Thank you.

Against Breast Cancer - Registered Charity No. 1121258 Registered in England, company limited by guarantee 6310215

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