Donation Form

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

DO NOT HIT ENTER at the end of a field... Press "TAB" to move to the next field... Hitting ENTER will submit the form.

For your protection, all information is sent securely over a 128-bit encrypted connection with SSL.

Please complete all fields marked *


Your Name and Details *

Your Address *


Your Postcode *
Your Email Address *
   
Your Employers Details
Employer's Name (In Full) *
Workplace Address *


Employer's Postcode *
N.I. Number *
Employee/Payroll No *
  (This can normally be found on your payslip. We cannot identify your gifts without this No.)
   
I am paid * Monthly
  4 Weekly
  Weekly
  Other - Please specify
 
Type of request/instruction * This is a first time request
  This is in addition to my existing instructions
  This replaces my existing instructions
NOTE If you check this box, your existing donation instructions will be deleted.
   
   
 
Hands on Helping Charity

DECLARATION: I confirm that my payroll donation to charity is not being made under gift aid or deed of covenant.

Charity Donating to
Name of Charity 1 *
Amount of donation * £5.00
  £10.00
  £15.00
  £20.00
  Other - Please specify £
 
 
 
Charity Donating to
Name of Charity 2
Amount of donation £5.00
  £10.00
  £15.00
  £20.00
  Other - Please specify £
 
 
Charity Donating to
Name of Charity 1
Amount of donation £5.00
  £10.00
  £15.00
  £20.00
  Other - Please specify £
 

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.                                    


Hands On Helping
Fairfields
117 Castleton Road
HOPE
HOPE VALLEY
S33 6SB

Helpline 01433 621 882

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