TitleFirst name*Last name*Address*Please provide your full address and postcodeEmail addressPhone numberGift Aid declaration*Please tick the box below to confirm you would like us to claim Gift Aid on your donations. I want to gift aid any donations I make in the future or have made in the past 4 years to St Luke's (Cheshire) Hospice. I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year it is my responsibility to pay any difference.