Fire Fighters Charity can claim an extra 25p from HM Revenue and Customs on every pound you donate, at no extra cost to you.Fields with * are mandatory.I am a UK taxpayer and confirm that I wish Fire Fighters Charity to treat as Gift Aid donations all qualifying gifts of money in the past 4 years, made today and in the future. I understand that if I pay less Income Tax and/or Capital Gains Tax in the current tax year than the amount of Gift Aid claimed on all my donations it is my responsibility to pay any difference.* Tick this box to confirm the statement above. No, I am NOT a UK taxpayer, or do not pay sufficient tax. Please notify the charity if you want to cancel the declaration, change your name or home address or no longer pay sufficient tax on your income and / or capital gains. If you pay Income Tax at the 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.Supporter Reference NumberPlease enter this number if you've received this on a letter or email from us.Name* Title MrMrsMissMsDrProfRevLordLadySirSisterCaptainDameThe HonourableColonelBrigadier First Name(s) Surname Address* Address Line 1 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 Mobile numberBrigade (if applicable)NoneAberdeen AirportAvon Fire and Rescue ServiceBedfordshire Fire and Rescue ServiceBelfast City AirportBNFLBristol AirportBuckinghamshire Fire and Rescue ServiceCambridgeshire Fire and Rescue ServiceCheshire Fire and Rescue ServiceCleveland Fire BrigadeCornwall Fire and Rescue ServiceCounty Durham and Darlington Fire and Rescue ServiceCumbria Fire and Rescue ServiceDerbyshire Fire and Rescue ServiceDevon and Somerset Fire and Rescue ServiceDorset and Wiltshire Fire and Rescue ServiceDurham Tees Valley AirportEast Midlands AirportEast Sussex Fire and Rescue ServiceEdinburgh AirportEssex County Fire and Rescue ServiceFire Service CollegeGatwick AirportGlasgow Prestwich AirportGloucestershire Fire and Rescue ServiceGreater Manchester Fire and Rescue ServiceGuernsey Fire and Rescue ServiceHampshire Fire and Rescue ServiceHereford and Worcester Fire and Rescue ServiceHertfordshire Fire and Rescue ServiceHighland & Islands AirportHumberside AirportHumberside Fire and Rescue ServiceIsle of Man Fire and Rescue ServiceIsle of Wight Fire and Rescue ServiceIsles of Scilly Fire and Rescue ServiceJersey Fire and Rescue ServiceKent Fire and Rescue ServiceLancashire Fire and Rescue ServiceLeicestershire Fire and Rescue ServiceLincolnshire Fire and Rescue ServiceLondon Fire BrigadeLondon Heathrow AirportManchester AirportMerseyside Fire and Rescue ServiceMid and West Wales Fire and Rescue ServiceMODNorfolk Fire and Rescue ServiceNorthamptonshire Fire and Rescue ServiceNorthern Ireland Fire & Rescue ServiceNorthumberland Fire and Rescue ServiceNorth Wales Fire and Rescue ServiceNorth Yorkshire Fire and Rescue ServiceNottinghamshire Fire and Rescue ServiceNorwich AirportOxfordshire Fire and Rescue ServiceRoyal Berkshire Fire and Rescue ServiceScottish Fire and Rescue ServiceShropshire Fire and Rescue ServiceSouthampton AirportSouth Wales Fire and Rescue ServiceSouth Yorkshire Fire and Rescue ServiceStaffordshire Fire and Rescue ServiceSuffolk Fire and Rescue ServiceSurrey Fire and Rescue ServiceTyne and Wear Fire and Rescue ServiceWarwickshire Fire and Rescue ServiceWest Midlands Fire ServiceWest Sussex Fire and Rescue ServiceWest Yorkshire Fire and Rescue ServiceWould you like us to keep you updated about our charity?The information you have provided will be used by the charity to fulfil your gift aid request. We would also like to use your information to enable us to contact you with news and information about Fire Fighters Charity and inform you about other ways you can support us.Email Address Email Yes I am happy to receive emails from Fire Fighters Charity. Post Yes I am happy to receive post from Fire Fighters Charity. Phone Yes I am happy to receive phone calls from Fire Fighters Charity. SMS Text Yes I am happy to receive SMS Texts from Fire Fighters Charity. Fire Fighters Charity processes personal data in accordance with its Data Protection Policy. For full details of how the charity processes your data, please see our Privacy Policy.NameThis field is for validation purposes and should be left unchanged.