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Treetops Hospice provides nursing care and emotional support for adults and their families in Derby and Derbyshire
Every penny you raise makes a huge difference and means we can continue to care for local patients and their families. Our Community Relationships Team would love to hear from you and offer support
You will make a difference to patients and families in Derby and Derbyshire
© Treetops Hospice 2023. Registered charity No. 519540
Gift Aid Declaration Form 2024 Add 25p to every £1 you donate, without it costing you a penny! Gift Aid is a great government scheme designed to help charities. It’s as simple as ticking the box below and leaving us your details, HMRC can then give us 25p for every £1 you donate. It doesn’t cost you a penny! You can tick the box only if you pay more UK income or capital gains tax, this includes tax on pensions and savings, than the charities you donate to claim. That’s probably most of us.So, please go ahead and fill out the form if you’d like Treetops to benefit from this funding.Name(Required) Title MrMrsMissMsDrProf.Rev. First Last Address Street Address Address Line 2 City Postcode Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands PhoneEmail My Gift Aid Declaration:Tick to agree the statement belowTick to agree to the amended statement belowDate DD slash MM slash YYYY ‘I want to Gift Aid this donation, any donations I make in the future or have made in the past 4 years to Treetops Hospice. I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax (this can include tax on pensions and savings) than the amount of Gift Aid claimed on all my donations in that tax year it is my responsibility to pay any difference. I will notify Treetops of any change in my personal circumstances, such as name and address, or that I no longer pay UK Income Tax or Capital Gains Tax, or I wish to cancel the declaration’.If you cannot agree in full to the first sentence above, please amend it to suit your circumstances.For more information about Gift Aid go to treetops.org.uk/giftaidKeeping in touchYour valued support helps care for local patients and families. We look forward to keeping in touch by post and phone about our work, sharing news, activities, and opportunities to donate and fundraise.We will never sell your data which will only ever be used for hospice purposes. Let us know if you want to change how you hear from us or would prefer not to receive any future marketing updates from the hospice. Email us at updates@treetopshospice.org.uk or call us on 0115 949 1264.A copy of our privacy policy is at treetops.org.uk/privacyLet us know if you would like to hear from us by email and text:Please send me emailsPlease send me text messagesCAPTCHA Δ
Gift Aid is a great government scheme designed to help charities. It’s as simple as ticking the box below and leaving us your details, HMRC can then give us 25p for every £1 you donate. It doesn’t cost you a penny!
You can tick the box only if you pay more UK income or capital gains tax, this includes tax on pensions and savings, than the charities you donate to claim. That’s probably most of us.
So, please go ahead and fill out the form if you’d like Treetops to benefit from this funding.
Keeping in touch
Your valued support helps care for local patients and families.
We look forward to keeping in touch by post and phone about our work, sharing news, activities, and opportunities to donate and fundraise.
We will never sell your data which will only ever be used for hospice purposes. Let us know if you want to change how you hear from us or would prefer not to receive any future marketing updates from the hospice.
Email us at updates@treetopshospice.org.uk or call us on 0115 949 1264.
A copy of our privacy policy is at treetops.org.uk/privacy
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23 June 2025
19 June 2025
19 May 2025
