Individual Wildlife Guardian Form

About You

Title (required)

MrMrsMissMsDrOther

If ’other’ please state

First Name (required)

Last Name (required)

Date of Birth (required)

Telephone number (required)

Mobile number

Email address (required)

Address Line 1 (required)

Address Line 2

Town (required)

County (required)

Postcode (required)

GIFT AID: By selecting the ’I agree to Gift Aid’ option below you agree to the following statement: I confirm I have paid or will pay an amount of Income Tax and/or Capital Gains Tax for each tax year (6 April to 5 April) that is at least equal to the amount of tax that all the charities or Community Amateur Sports Clubs (CASCs) that I donate to will reclaim on my gifts for that tax year. I understand that other taxes such as VAT and Council Tax do not qualify. I understand the charity will reclaim 25p of tax on every £1 that I have given.

*Gift Aid Declaration (required)

I agree to Gift AidI am not a UK tax payerI do not wish to Gift Aid

Your contact details will be used to process your donation and to send print materials. To subscribe to news, updates and other ways you can help including appeals from Wiltshire Wildlife Trust, please select how you wish to be contacted below.

Email (required)

Phone (required)

Post (required)

By submitting this form, you agree to be contacted in relation to this enquiry.

Send