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British Heart Foundation Home
Single Donation Form

Standing Order Form
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In Memoriam
A memorial gift in lieu of flowers is a very special way to remember a loved one, helping give health and life to those who remain.

If you make an in-memoriam donation, you will receive an acknowledgement for your donation and the family of the person honoured by your gift will receive a personal letter, with the total sum given and a list of donors. Individual amounts are never disclosed.

Problems or queries?
If you have any queries, or would like to make a donation over the phone, please contact Mrs Brenda Mole on
020 7487 7159
1. Select the amount you wish to donate
I wish to donate  
or my preferred amount of
(click this button and add your preferred amount)
   £ 
2. First, fill in your personal details
*Full Name  
*Address  
*Postcode  
Country  
Phone Number  
*Email  
   *Required Fields  
3. Next, please inform the next of kin
Name of the deceased  
Full Name of next of kin  
Address  
Postcode  
Country  
Phone Number  
Email  
Relationship of next of kin to deceased  
4. Next select your payment method
*Payment Method   Credit or Debit Card Online Cheque, Credit or Debit Card by Post
5. The following information is optional and will be used by the BHF solely for
     statistical analysis
Optional Message   You can use the box below to enter additional information
   
Your Sex   MaleFemale
Your Age  
Do you know anyone with
heart or circulatory problems?
  Yes - currently Yes - in the past  No
If yes, who is that?  
 
6. Web Gift Aid Declaration
As part of the Gift Aid scheme it is now possible for Charities to reclaim the tax you pay on your donation if you are a basic rate tax payer.

If you tick the first box this means that for every £1 you give the BHF can claim an extra 28p from the tax man. And it won't cost you a penny extra.

(GA1) Please treat all donations I have made to the British Heart Foundation (BHF) and all donations I make thereafter as Gift Aid.

Date: 04 July 2009

Notes
  • In order for the BHF to reclaim the tax on donations, the person making the donation must pay an amount of income tax or capital gains tax at least equal to the tax we reclaim from the Inland Revenue (currently 28p for every £1 you give)
  • For Gift Aid donations, please ensure that cheques from a joint account are signed by the tax payer
  • You may cancel this declaration at any time (and must do so if you cease to be a UK taxpayer) by notifying the BHF at the address given above)
  • The BHF will use tax reclaimed on your donations in the most effective way to fulfil its objectives
(GA2) I am not currently a UK taxpayer
   
Your payment details will be processed securely using WorldPay plc
Thank you very much for your support




What happens to your personal information

The British Heart Foundation (BHF) values your support. We will use information provided by you for administration and marketing purposes. We may contact you by post or occasionally by phone or e-mail and may include news and information on BHF's charitable work, (e.g. how your money is spent, heart health information), BHF events, and related products and services from our subsidiary companies such as Christmas gift catalogues.
Please tick the box if you do NOT want to hear from the BHF at all.  (S)

Occasionally the BHF may pass on your details to carefully selected third party organisations we are working with, for them to send you information on their events, products and services.
Please tick the box if you do NOT want your details passed on in this way.  (MP2)

The British Heart Foundation is a company limited by guarantee
(Registered in England No 699547)
Head office at 14 Fitzhardinge Street, London W1H 6DH
The British Heart Foundation is a Registered Charity (No 225971)
14 Fitzhardinge Street London W1H 6DH 020 7935 0185
Heart Information Line 08450 70 80 70
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Registered Charity Number 225971