Help Chris Lucas Trust by supporting our Cancer Research
Please use this form to support Chris Lucas Trust by giving regularly from your salary. Complete and photocopy this form. Send the copy to your Payroll Department and keep the original for your records. If possible, please send a copy to Chris Lucas Trust for our records.
I would like to make a regular donation to Chris Lucas Trust Cancer Research
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Your details our name Title (Mr/Mrs/Miss/Ms/Other) . Home address .. .. Postcode .. Tel . .. Email address . ................ Your employee payroll number (this can be found on your payslip) .. Employers details Organisation name .. Address . Postcode .. Tel . .. |
Please deduct the following amount from my pay Weekly [ ] Monthly [ ] (please tick as appropriate) £5 [ ] £10 [ ] £20 [ ] £50 [ ] £100 [ ] Other amount £ I authorise the total tax free deduction of the amount indicated above from my salary and certify that my payroll donations are not being made under Gift Aid or covenant.
This donation is new/in addition to/supersedes my earlier instructions (please delete as appropriate). Signed . Date |
Chris Lucas Trust and our trading companies would like to hold your details in order to contact you about our fundraising, campaigning and services for children and young adults affected by cancer.
If you prefer us not to use your details in any of these ways, please tick here. □
We will not sell your personal details to any other person or organisation.
Please return this form to Payroll Giving Team, Chris Lucas Trust, 95, Lancaster Drive, Hadrian Park, Wallsend, North Tyneside. Tel. No. 0191 2632884
Thank you for helping children and young adults affected by cancer by supporting our work.
Chris Lucas Trust Registered charity no 1085775.