Thank you for caring about your pennies.

Your donations will be split equally between Alzheimer's Research UK and Add up.

I am pleased to confirm that I wish to participate in the Pennies from Heaven scheme and hereby authorise my employer above as my agent to collect each pay period from my salary such odd penny balances (maximum 99p per pay period) and to distribute such amounts to the charity/charities shown above. This authorisation is effective from the date I submit this form and shall remain in force until cancelled in writing. If I am a UK Taxpayer I give my consent for Gift Aid to be reclaimed on my donations (this boosts your donation by 25% and costs you nothing) and agree for my employer to provide the charities with my name and address for this purpose only. I 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 any difference. It is noted that a minimum of 93% of my donations will go directly to the nominated charity/charities with the rest retained by Pennies from Heaven Fundraising Limited to cover administration costs. This fee is offset however if donations are eligible for Gift Aid as for every £1 donated the charities, after reclaiming Gift Aid, will receive £1.16 after the fee is deducted. PLEASE DO NOT SEND THIS FORM ON INTERNET EXPLORER AS YOUR DATA WILL NOT BE RECEIVED. PLEASE USE AN ALTERNATIVE BROWSER