Final Impact Report

I would like to support Kidney Care UK with a regular monthly gift
You can set up a regular monthly gift online at kidneycareuk.org/donate, by calling 01420 594 943 or by
completing this form and posting it to Kidney Care UK, 3–4 The Windmills, St Mary’s Close, Alton GU34 1EF.
My details
Title
Address
First name
Surname
Postcode
Contact No.*
Email*
*We will only use these details to talk to you about your regular gift .
Donation details
I would like to make a monthly donation of: £3 £5 £10 Other (minimum £3)
I would like my direct debit to start on the 1st or 15th of
Gift Aid declaration
I am a UK tax payer and would like to gift aid this donation and any donations I make in the future or have made
in the last four years. I 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.
Bank/Building society details
Instruction to your Bank or Building Society. Please pay Charity Aid Foundation Direct Debits from the account
detailed in this instruction subject to the safeguards assured by the Direct Debit Guarantee. I understand that this instruction
may remain with the Charities Aid Foundation and, if so, details will be passed electronically to my Bank/Building Society.
Name(s) of Account Holder(s)
Account no.
Sort code
Signature(s)
Date
Service User Number
6 9 1 2 1 3
CAF, Kings Hill, West Malling, Kent ME19 4TA
Kidney Care UK will treat your details in confidence and in accordance with current data protection laws.
For further information on how your data is used and stored visit www.kidneycareuk.org/privacy
Funds raised will be used in accordance with the aims of the charity as set out in its governing documents,
namely to improve life for kidney patients and their families .
©Kidney Care UK. Kidney Care UK is the operating name of the British Kidney Patient
Association. A charitable company limited by guarantee. Registered in England and Wales
(1228114). A charity registered in England and Wales (270288) and Scotland (SC048198).
The Direct Debit Guarantee – this guarantee should be detached and retained by the payer
• This Guarantee if offered by all Banks and Building Societies that accept instructions to pay Direct Debits.
• If there are any changes to the amount, day or frequency of your Direct Debits, Charities Aid Foundation will notify you ten working days in
advance of your account being debited or as otherwise agreed. If you request Charities Aid Foundation to collect a payment, confirmation
of the amount and date will be given to you at the time of the request.
• If an error is made in the payment or your Direct Debit, by Charities Aid Foundation or your Bank or Building Society, you are entitled to a full
and immediate refund of the amount paid from your bank or building society – If you receive a refund you are not entitled to, you must pay it
back when Charities Aid Foundation asks you to.
• You can cancel a Direct Debit at any time by writing to your Bank or Building Society. Written confirmation may be required. Please also send
a copy of the letter to us.