Bognor Regis
01243 864 745
Chichester
01243 77 33 11
Littlehampton
01903 730 666

Donation form

Please complete this form to make a donation to British Heart Foundation in memory of Allan Ross.

All fields marked with an asterisk are required.

About British Heart Foundation

Coronary heart disease is the UK’s single biggest killer but we are leading the fight against it.  Our work has been central to the discoveries of vital treatments that are helping to change the face of the UK’s fight against heart disease.

Your donation

£
Can you Gift Aid your donation?

If you are a UK taxpayer, British Heart Foundation may be able to reclaim 25p for every £1 you donate. To qualify, what you pay in income tax, the tax on any pension, or capital gains tax, must at least equal the amount claimed in the tax year.

Declaration

To Gift Aid your donation, we need you to agree to the statements listed below. We will email you a copy of this declaration for your records along with your receipt.

  • I am a UK taxpayer and am happy for British Heart Foundation to treat all qualifying donations I have made in the last four years from today’s date, and all donations I will make in the future, as Gift Aid donations.
  • If I pay less income tax and/or capital gains tax in the current tax year than the amount of Gift Aid claimed on all my donations, I understand it is my responsibility to pay any difference.
  • I understand that any tax refund received by British Heart Foundation will be made at the basic rate. If I pay income tax at the higher or additional rate, and want to receive the additional tax relief due to me, I will include all my Gift Aid donations on my Self Assessment tax return or ask HMRC to adjust my tax code.
  • If my circumstances change and I no longer pay tax on my income and capital gains equal to the tax that British Heart Foundation reclaims from my donations, I must notify them and cancel this declaration.
  • If I change my name or address, I will notify British Heart Foundation.

Your details

Your name
Please include area code for landline numbers.
Billing address
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Share a personal message

Optional - An online memorial page has been created for Allan. If you would like to include a personal message with your donation, we will post it straight to their message wall for you along with your name.

View Allan's memorial page (opens in a new browser tab)

How would you like to display your name?

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— Est. 1867 Design & DevelopmentWebsite by Chops

Book a home visit

Please complete the form below to request a home visit. One of our funeral directors will call you as soon as they can to agree a date and time. If you wish to speak to someone urgently, we recommend calling us on 01243 864 745.

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