Please complete this form to update your Personal Details and contact preferences.

Name

If giving as couple, please put both names in "First Name" field. Separate names using "and"

First Name

Last Name

Telephone Number

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

We would like to contact you from time to time to keep you informed of news or updates from Mercy UK. We will not share your data and you can unsubscribe at any time. (OPTIONAL)

How would you like us to contact you?

Post

Telephone

Can we claim Gift Aid?

Gift Aid is a scheme that allows charities to reclaim tax on a donation made by a UK taxpayer, which means your donations will be worth 25% more to us at no extra cost to you. If you Gift Aid your donations we can claim back from the government 25p for every £1 you donate to Mercy UK.

Yes, for all my gifts in the last four years and moving forward

Yes, from now on

No, I am not a UK taxpayer or would not like Gift Aid to be Claimed

If giving as a couple, please confirm which name to claim Gift Aid from.

First Name

Last Name

If you tick "Yes", you are agreeing to the following: I am a UK taxpayer and 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. Please notify us if you want to cancel this declaration, change your name or home address or if you no longer pay sufficient tax on your income and/or capital gains. Mercy UK will ensure that your personal details are held securely and will never share them with anyone else. For more information on how we store and use your information please click on Privacy Notice below