Gift Aid Declaration Please boost your donation by 25p of Gift Aid for every single pound that you donate. Complete and submit the form below to confirm you are a UK Tax Payer. I would like to Gift Aid my donation of and any donation I make in the future to: SOMEWHERE TO GO - Charity Number 1080963 Your title Your full name Your email Your address Postcode Date 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. Your Signature (please hold down your mouse and sign) Please notify the charity if you: - want to cancel this declaration - change your name or home address - no longer pay sufficient Income Tax or/ Capital Gains Tax. If you pay Income Tax at the higher or additional rate and want to received additional tax relief, you must include all your Gift Aid donations on your Self-Assessment tax return or ask HMRC to adjust your tax code.