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 Cancer Research UK in memory of George Anscombe.

All fields marked with an asterisk are required.

About Cancer Research UK

Cancer Research UK’s vision is to bring forward the day when all cancers are cured.
Over the last 40 years, cancer survival rates in the UK have doubled. Our ambition is to accelerate progress and see three quarters of patients surviving the disease within the next 20 years.

Your donation

£
Can you Gift Aid your donation?

If you are a UK taxpayer, Cancer Research UK 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 Cancer Research UK 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 Cancer Research UK 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 Cancer Research UK reclaims from my donations, I must notify them and cancel this declaration.
  • If I change my name or address, I will notify Cancer Research UK.

Your details

Your name
Please include area code for landline numbers.
Billing address
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