Pleaseyour donation so we can claim an extra 25p for every £1 you give. It won't cost you any extra.

Please read the statement and confirm by ticking each of the financial years it applies to:

I confirm I am a UK taxpayer and I have paid or will pay an amount of Income Tax and/or Capital Gains Tax for the tax year indicated that is at least equal to the amount of tax that all the charities and Community Amateur Sports Clubs CASCs) that I donate to will reclaim on my gifts for the current tax year. I understand that other taxes such as VAT and Council Tax do not qualify.

I understand that in the event that I have not paid sufficient tax to cover the tax amount that the charity or CASC reclaims from my donations that it remains my responsibility to pay the difference to HM Revenue and Customs (HMRC). I understand the charity will reclaim 25p of tax on every £1 that I have given.

1) You can cancel this declaration at any time by notifying Cerebra. 2) If your future circumstances change and you no longer pay sufficient tax on your income you should notify Cerebra. 3) If you pay tax at the higher rate you can claim a further tax relief in your Self-Assessment return. 4) Please notify Cerebra if you change your name or address.