Gift Aid Form Gift Aid Opt-In Form I am a UK taxpayer and would like UKWAQF to reclaim tax on all donations I have made within the last four years and all donations that I make hereafter. I 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. Please remember to notify UKWAQF if you want to cancel this declaration, change your name or home address or no longer pay sufficient tax on your income and/or capital gains. * I am a UK taxpayer and would like UKWAQF to reclaim tax on all donations I have made within the last four years and all donations that I make hereafter. Title * Mr Mrs Miss Ms Dr Name * First Name Last Name Phone (###) ### #### Email * Address Address 1 Address 2 City State/Province Zip/Postal Code Country Thank you!