Benefactors’ Programme

Details of Benefactor
(all details marked with a * are compulsory)
Title
First name *
Surname *
Full home address *
Postcode *
Telephone
Mobile
Email *
Payment Details * (please select one)
Director’s Circle: £2,000
   
Patron: £750
   
Friend: £200
Accreditation *
Please specify how you would like to be credited on our website and any printed material or to remain anonymous please type ANON.
Tax Effective Giving – Gift Aid

Increase the value of your donation at no further cost to you. As a Benefactor all you have to do is complete the following Gift Aid declaration and your donation to Chisenhale Gallery will be increased significantly.

Gift Aid is reclaimed by the charity from the tax you pay for the current tax year. Your home address is needed to identify you as a current UK taxpayer (please fill in the form above).

Gift Aid Declaration (please select one)
I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year it is my responsibility to pay any difference.
Please note Gift Aid is not applicable to donations made through businesses, trusts and foundations.
   
or I am not eligible as a UK taxpayer / I do not consent
Gift Aid means any donation qualifies for tax relief as long as the donor is a UK taxpayer. Chisenhale Gallery can reclaim 25p of tax on every £1 donated. On a donation of £200, Chisenhale Gallery can reclaim an extra £50 from HM Revenue & Customs (HMRC).

If you pay Income tax at the higher or additional rate and want to receive the additional tax relief due to you, you must include all your Gift Aid donations on your Self-Assessment tax return or ask HM Revenue and Customs to adjust your tax code.

Please notify Chisenhale Gallery if you:

• Want to cancel this declaration. You can cancel at anytime and for any reason
• Change your name or address
• No longer pay sufficient tax on your income and/or capital gains