Donations to The AquaLung Trust will be divided between the Institute of Cancer Research, The Magpie Cancer Centre, Merlin and Encompass. If, however, you wish your donation to be given to a specific charity/ies, please make this clear below.

I would like my donation to The AquaLung Trust to be given specifically to: 

......................................................
(Cheques should still be made out to The AquaLung Trust)

Name ................................ Email .....................

Address .........................................................

.................................................................
 

Bank transfers may be made to Ansbacher London.

Sort code:       70-15-70
Account number:  2800 3991
Account name:    The AquaLung Trust Current Account

GIFT AID – INCREASE THE VALUE OF YOUR GIFT

... Tick here and sign below if you would like the AquaLung Trust to reclaim tax on your donation. You must pay an amount of UK income tax or capital gains tax equal to the tax we reclaim on your donations – approximately 28p for every £1 you give. 

I would like The AquaLung Trust to reclaim tax on this donation and for all donations I make hereafter to be treated as Gift Aid donations until I notify you otherwise. 

Signature ................................... Date ..............

Mailing Address:

The AquaLung Trust, c/o Clyde & Co, 51 Eastcheap, London EC3M 1JP