Yes, I am a UK Income or Capital Gains taxpayer and I want to Gift Aid this donation and any I make in the future to St John Ambulance Cymru.

Gift Aid is reclaimed by the charity from the tax you pay for the current tax year. I 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 name and address are needed to identify you as a current UK taxpayer.

Please notify us if you:
• want to cancel your gift aid declaration
• change your name or home address
• no longer pay sufficient tax on your income and/or capital gains.

If you pay Income Tax at a 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.