PAYROLL GIVING DONATION FORM

Tiger Awareness Donation Form

How it works

Simply by completing this form, you can support
Tiger Awareness from your pay.

Pay no tax

Because the donation is taken from your gross pay, every pound you give will
only cost you 80p, or 60p if you are a higher rate tax payer.

You donate	£ 5.00	£ 7.50	£10.00
Cost to you as a 20% taxpayer	£ 4.00	£ 6.00	£ 8.00
Cost to you as a 40% taxpayer	£ 3.00	£ 4.50	£ 6.00

Source code: PGA [Agency: ]

Please select donation type
This is a first time donation
This donation request replaces any previous instructions.
Add this donation to my existing donations

How often are you paid?
Please select your payment frequency : Monthly 4 Weekly Fortnightly Weekly

Which tax band are you in?

Please select your tax band : 20% 40% 45%

Click here to read the Tax Band explanation

I would like to give a regular tax-free donation from my pay to:

Charity Name : Amount : £

+ More Charities

Charity Name : Amount : £
Charity Name : Amount : £
Charity Name : Amount : £

Total amount to be deducted from your Gross pay each pay day: £ 0.00

Cost to you from your Net take home pay: £
Total amount your chosen charity(ies) will receive : £

DECLARATION: By signing this form you are confirming your understanding that no further tax is recoverable on this gift and understand that only gifts to organisations with charitable status within the UK can be accepted and that no gift can be made as a membership subscription or to pay for goods or services supplied.
Title:
First name:
Last name:
Email address:
Confirm e-mail address:
Telephone number:
Mobile number:

Your home address
Postcode:

Address line 1:
Address line 2:
Town / city:
County:

Your employment details

Employer's full name :

Employee/staff number:

(Normally found on pay slip)

National Insurance Number:

Workplace Postcode:

Work address line 1:
Work address line 2:
Work town / city:
Work county:

Your digital signature
Enter your full name as confirmation of the completed form:
No part of your donation is taken by us in commission . We (Payroll Giving in Action) receive a fee from our member charities based on results. Solicitation Statement Payroll Giving in Action is a professional fundraising organisation. We provide fundraising services to charities throughout the United Kingdom. Our Appeal is to attract regular, ongoing committed givers to charity and we work with charities on a rolling yearly basis. Representation is free allowing funds to be raised without risk and at low cost. Only if support is generated from our work are we paid by the charities we represent (please visit www.payrollgiving.com for a full charity list). The average life of a Payroll Giver is 7 years. Last year our work resulted in £3.2 million pounds per annum pledged to charities , our remuneration for generating this income was £655,500 This year we estimate that our annual remuneration will also be £665,000.The cost of this was proportionally shared (in accordance with donations made) by the 260 charities we are contracted to. This represents an investment of less than 3p in the £1 from all the donations the charity expects to receive as a result of this campaign. This figure is lower if your employer matches your donation. View our Privacy Policy here
Please Note: You should allow up to 6 weeks before the donation will show on your pay slip. The time delay depends on when your payroll department receives the form relative to the cut-off date for each payroll run. In some instances a small transaction fee may be deducted by your employers chosen Payroll Giving Agency.

Data protection
MARKETING: Opting in to receive charity marketing communications means you can see how your chosen charity/ies use your donations to help provide their services. “Marketing” consists of any communication which promotes a charity or its values, so could be anything from a newsletter to a specific appeal. Using the boxes below, please indicate which channels your charity may use to send you marketing. Ticking as many boxes as possible gives your charity the option of choosing which way works best for them. If you do not tick any, then you may receive no contact at all from your charity, not even an acknowledgment of your donation. We will never share your details without consent.
Email: Text (SMS): Telephone: Post:
PRIVACY: If you have opted to receive any form of marketing from your chosen charity/ies then we, Payroll Giving in Action Ltd will pass on the relevant contact information you’ve provided to them. In order for your donation to be processed we, Payroll Giving in Action Ltd, must share data with your Employer’s Payroll Department and chosen HMRC registered Payroll Giving Agent. Your Employer has a contract with the Payroll Giving Agent who are responsible for passing your donated money onto your Charities. If your employer has an existing relationship with another named organisation, we may need to share your details with them to carry out the processing of your donation. Some charities use a Third Party for support services, with whom they are contracted, and with whom they may share your data for processing purposes. To view your chosen charity’s privacy statement, please visit their website. Payroll Giving in Action Ltd will store your data in line with our internal Data Protection Policy (which you can find https://payrollgivingportal.uk/policy-documents ) for a period of 7 years, after which time we will delete. Please note you are not able to remain anonymous from your Employer’s Payroll, or from their chosen Payroll Giving Agent. You may be contacted in the event of a specific query needed to resolve the processing of your data for the purposes of these instructions. Our full Privacy Policy is detailed at https://payrollgivingportal.uk/policy-documents

Form security information
Your IP address:	54.224.44.168
Time/date stamp:	21 Apr 2018 08:30:00
SSL encryption:	This page is protected with a Geotrust SSL with up to 256-bit encryption. Your confidential information cannot be viewed, intercepted or altered.