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