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Set Up Your Donation

Are you currently giving through your pay?

Please use this form to start giving to Bliss through your pay. Please be sure to complete all sections so that your donation can be processed as quickly as possible.
Costs you:
Select your tax band:        
Enter the amount you would like Bliss
to receive each pay day.
Select how often you are paid and your donation will be deducted from your pay each time you are paid.
Personal Details
Workplace Details
This can normally be found on your payslip.
Your Total Donation: £0.00

This is the amount that will be deducted from your GROSS pay and how much Bliss will receive from each pay day.
Cost to you: £0.00

This is how much your donation costs you, i.e. how much you will be donating from your net pay.

Bliss would like to keep you up to date with the work we do. Please select below how we might be able to contact you, if you would not like to hear from us just leave them all blank.
Telephone:     Email:     Post:    

The data supplied on this form will be used to enable your donation to reach Bliss. In order that your instructions can be acted on, your details will be passed to a HM Revenue & Customs registered Payroll Giving Agent, with whom your employer has a contract, who will forward your donation to Bliss. The Payroll Giving Agency (a charity in their own right) may deduct a processing fee from your donation, this is between 25p and 4%, some employers pay this on your behalf, for further information call the helpline below. Hands On Payroll Giving ands On Helping will record the details shown on this form for administration purposes.

I confirm that my pre-tax donation through my employers Payroll Giving scheme will not be included in the Gift Aid scheme