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Gift Aid Form

Gift Aid is a wonderful scheme which enables charities to claim back from HMRC the tax donors have paid on their donations.

We can receive an extra 25p for every £1 you donate.
You just need to make a declaration once, and we will be able to claim on all your donations and the previous 4 tax years

To find out more information please click here Gift Aid

PLEASE COMPLETE THE FORM BELOW

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GIFT AID DECLARATION FORM

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Title *

First Name *

Last Name *

House Name or Number *

Postcode *

Yes, I would like to Gift AId my donations and any donations I have made within the last four years and all donations I make in the future until further notice.

Yes, I can confirm I am a UK Tax Payer

Yes I agree to let OTR know if I change my name or address

Yes, I agree to let OTR know if I no longer pay sufficient tax on my income and/or capital gain.

Captcha (spam protection code): *

I herby agree that my data entered on the Gift Aid form will be stored electronically, and will be processed and used for the purpose claim gift aid. I am aware that I can revoke my consent at any time.

Note: Fields marked with * are required

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Off The Record Counselling Service , Willow Lane House , 9 Willow Lane , Norwich, NR2 1EU . Phone: 01603 626650 . Email: info@otr-norfolk.org.uk ©2026 Off The Record Counselling Services (Norfolk) Limited . Company Number : 3974890 . Registered Charity Number : 1088504

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