Monthly donations to
Health Aid UK
direct from your salary
Please print this form - fill it in - and pop it in the post.
Your full name_________________________
Your address_________________________
_________________________
Your post code_____________
Your telephone number_________________________
THE HEAD OF HUMAN RESOURCES
_________________________(your employer)
_________________________(employer address)
_________________________ ________(post code if known)
I wish make a regular monthly donation of:________(amount in figures)
_______________________________ (amount in words)
to the registered charity Health Aid UK. I would be grateful if you could arrange for payment to be made direct from my salary.
Thank-you,
Signature____________________ Today's date ____________
Some companies run schemes to recover tax from charitable donations, which can increase the value of your donation to Health Aid UK by typically around 25%. If your company runs such a scheme, may Health Aid UK benefit from this tax break?
Please tick one: Yes [ ] No [ ].
If you work for a very large company with a Human Resources or Personnel Department, please help them to identify you with your employee reference number, or internal phone number.
_________________________
The HEALTH AID UK collection account is:
Bank sort code: 05-07-22
Account number: 24870305
Account name: Health Aid UK
Enquiries about this form may be made to Health Aid UK by telephone (01706-640 349), fax (01706-523 934), E-mail: events@healthaiduk.org
, or mail at the address below.
Please send this form to:
Health Aid UK, 80 Spotland Road, Rochdale OL12 6PQ, UK.
