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Please use this form to support Able Foundation by giving regularly from your salary.
Complete this form - print two copy. Give one copy to your Payroll Department, and keep one copy for your records. Please also send this online
completed form to Able Foundation, for our records. I would like to make a regular donation to Able Foundation.
Your details

Mr/Ms/Other
First name
Surname

Home address

Postcode
Email

Telephone
Employee payroll number (on your payslip)
Your employer’s details
Organisation name
Address
Telephone
Postcode
Please deduct the following amount from my pay
weeklymonthly
£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. I confirm my understanding that no further tax is recoverable from the gift.This donation
is: new / in addition to / supersedes my earlier instructions (please delete as appropriate)
Signed
Date
THANK YOU
Able Foundation wouldlike to hold your details in order to contact you about our projects, campaigning and fundraising. If you prefer us not to use your details in these ways, please tick here
We will not give your personal details to any other person or organisation.
Please return this form to
Payroll Giving, Able Foundation, 47 Corbylands Road , Sidcup, Kent, DA15 8JG.
Able Foundation Registered charity No. 1138644