Please claim Gift Aid on my donation. I confirm that I am a UK tax payer and have paid income and/or capital gains tax at least equal to the tax to be reclaimed in this tax year by the charity. I agree that Gift Aid can be claimed on all donations that I have made in the last four tax years, and all donations that I will make from this date until I notify you otherwise. I understand that I must pay an amount of income tax and/or capital gains tax in each year at least equal to the tax that the charity will reclaim from the HMRC on my gift aid donations, please tick box.

Help us by keeping up to date with Epilepsy Research

Your personal details supplied will be used to process the payment and will not be passed on to any third party except for the sole purpose of facilitating this payment. Additionally, from time to time we may wish to contact you to update you on our work and activities. If you do not wish to receive these mailings, please tick the box.