Donation Form

This information will be sent directly to Hands On Helping, we will then process your donation requests through your employer.

Alternatively click here to print this form and post it to our office.

Please complete all fields marked *

Your Name and Details

Title: *

Full Name: *

House Number/Name: *

Street Name: *

Town/City: *

County:

Post Code: *

Email Address: *

Your Employers Details

Employers Name (in full): *

Building Number/Name: *

Street Name: *

Town/City: *

County:

Post Code: *

N.I. Number: *

Employee/Payroll Number: * This can normally be found on your payslip. We cannot identify your gifts without this Number.

I am paid: *

Please specify your payment period.

Type of request/instruction: * Please note: Your existing donation instructions will be deleted.

Charity Donations

Name of Charity 1: *

Amount of donation: *

Please specify amount in pounds £

Name of Charity 2:

Amount of donation:

Please specify amount in pounds £

Name of Charity 3:

Amount of donation:

Please specify amount in pounds £

My total donation per payslip is £

To Nominated Charities

I do not wish my details to be passed on to OTHER voluntary organisations.

Your details on this form will be passed on to your nominated charities, Please tick this box if you DO NOT wish this to happen.

Declaration - By clicking the "Submit Info Online" button you are confirming that your payroll donation to charity is not being made under gift aid or deed of covenant.

Submit Donation

Hands On Helping Office

Fairfields

117 Castleton Road

Hope

Hope Valley

S33 6SB