Donation Information

Where would your like you donation to go?*
  • Animal Centre Running Costs
  • Animal Centre Rebuild Appeal
Donation Amount*
  • £10
  • £25
  • £50
  • £100
  • Other £
If your donation is in honour or in memory of a loved one, please tell us more here. If you would like us to send an acknowledgement letter to someone other than you, please provide contact details

Donor Contact Information

State / Province*
Confirm Email*

Your Personal Data


The contact details you have provided will only be used for the purpose of administering your donation, including processing gift aid where appropriate, sending you a thank you and providing you with further nformation in relation to your donation. We're committed to respecting your privacy and keeping your personal information safe. Information about how we use your personal data is set out in our privacy notice.

Payment Information

Yes, reclaim Gift Aid on all my donations so that each £1 is worth an extra 25p to RSPCA Chesterfield and North Derbyshire Branch. This declaration is valid for the current tax year (6 April to 5 April), the previous four tax years and all future years. I declare that I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in a tax year, it is my responsibility to pay any difference. Please notify the charity it you want to cancel this declaration, change your name or home address or no longer pay sufficient tax on your income and/or capital gains. If you pay Income Tax at the higher or addition rate and want to receive additional tax relief due to you, you must include all your Gift Aid donations on your Self-Assessment tax return or ask HMRC to adjust your tax code.
Name on Card*
Card Number*
Additional Comments

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