Gift Aid Declaration

Please tick the box if you are a UK taxpayer and wish us to reclaim the tax paid on your donation*.

1. Yes, I am a UK Taxpayer and would like WCRF UK to treat all donations I have made since 1st October 2007, and all donations I make in the future, as Gift Aid donations.
2. No, I am not a UK Taxpayer.
3. *Please note that you must pay an amount of income or capital gains tax at least equal to the amount we reclaim in any tax year. If you are unsure if you qualify, please don’t hesitate to call our Supporter Services team on Freephone 0800 970 1461.

1. Title* Please select Mr Mrs Miss Ms Dr Prof Other
2. Other
3. First name*
4. Surname*
5. Gender Please select Male Female
6. Date of birth
7. Address*
8. Address
9. Town/City*
10. County
11. Country* Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia Herzegovina Botswana Brazil British Virgin Islands Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Congo Cook Islands Costa Rica Cote D’ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Faroe Islands Fiji Finland France French Guiana Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Ireland Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Republic of Kuwait Kyrgyzstan Lao Peoples Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macau Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mexico Moldovo Monaco Mongolia Montserrat Morocco Mozambique Myanmar, Union of Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norway Oman Pakistan Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda St. Christopher (St. Kitts and Nevis) St. Lucia St.Vincent and the Grenadines Samoa Sao Tome and Principe Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands South Africa Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tanzania Thailand Togo Tonga Trinidad and Tobago Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom USA Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Yemen Zaire Zambia Zimbabwe
12. Postcode*
13. Tel (in case of query)*
14. Email (for receipt)*

1. I would like to support the work of WCRF UK by making a donation of:
2. £100
3. £50
4. £25
5. £10
6. Other
7. Any other comments to include about your donation

1. Card type* Card Type Visa/Delta Mastercard American Express CAF Charity Card
2. We are very sorry that we are unable to electronically process Maestro (Switch/Solo) cards at this time. We are looking to resolve this as promptly as possible and apologise for any inconvenience caused. If you do not have another card, please call FREEPHONE 0800 970 1461 to make a telephone donation (we are able to accept all card types over the phone).
3. Card number*
4. Issue number
5. Start date Month 01 02 03 04 05 06 07 08 09 10 11 12   Year 2005 2006 2007 2008 2009 2010 2011
6. Expiry date* Month 01 02 03 04 05 06 07 08 09 10 11 12   Year 2011 2012 2013 2014 2015 2016
7. Security code*
8. (last 3 digits on signature strip, last 4 digits on front of AMEX. WCRF UK will not store security code after your donation is processed)*
9. Name on card*
10. Billing postcode*
11. You will automatically be provided with an email confirmation but if you would like written confirmation of your gift, please specify below:
12. Yes
13. No
14. We would like to keep you informed of the work of WCRF UK, including future campaigns. If you would rather not receive further communications, please tick this box.