Keep the change - Eden Valley Hospice

Keep the change form

Round up your monthly payments of £8.68 to £10 per number per month, and the additional £1.32p will be treated as a donation to Eden Valley Hospice and Jigsaw.

Name(Required)

Title First Last

Lottery Number (If known)

If you have more than one number you wish to apply “Keep the Change” to, please submit a separate form for each.

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Keep the Change Confirmation

By confirming, we will round up your monthly payments of £8.68 to £10 per number per month and the additional £1.32p will be treated as a donation to Eden Valley Hospice and Jigsaw.

Please tick to confirm(Required)

I would like to round up my monthly payment to £10 and I am happy for Eden Valley Hospice to amend my Direct Debit accordingly.

Gift Aid Declaration

Boost your donation by 25% at no extra cost. If you are a UK taxpayer, we can reclaim 25p for every £1 you donate.

I want to Gift Aid all donations I make today and in the future, including my Keep the change rounded‑up donations. My details above are my correct name and home address, as required for Gift Aid purposes.

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 the difference.

Please tick to add Gift Aid to your donation (Optional)

Yes, I am a UK taxpayer and would like to Gift Aid my donations.