Donate via Direct Debit I am a:* New Donor Existing Donor Previous Donor About youName* Title Mr.Mrs.MissMs.Dr.Prof.Rev. First Name Surname Home Address* Address Line 1 Address Line 2 City County Postcode Date of birth DD slash MM slash YYYY Home PhoneMobile PhoneEmail Payroll/Pension No.* ORNational Insurance No.* Your donationI authorise and request a monthly payment from my salary and pension of:* £8 £10 £15 Other I authorise and request to change my monthly payment from my salary and pension to:* £8 £10 £15 Other Enter other donation amount*Please enter a number greater than or equal to 2.Gift Aiding your donationThe Fire Fighters Charity can claim an extra 25p from HM Revenue and Customs on every £1 you donate, at no extra cost to you.Are you a UK taxpayer?*I am a UK taxpayer and confirm that I wish The Fire Fighters Charity to treat as Gift Aid donations all qualifying gifts of money in the past 4 years, made today and in the future. 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. Yes I confirm the Gift Aid statement above. No, I am NOT a UK taxpayer, or do not pay sufficient tax. About your workBrigade / Fire and Rescue ServiceSelect Fire and Rescue ServiceAberdeen AirportAvon Fire and Rescue ServiceBedfordshire Fire and Rescue ServiceBelfast City AirportBNFLBristol AirportBuckinghamshire Fire and Rescue ServiceCambridgeshire Fire and Rescue ServiceCapita Fire and RescueCheshire Fire and Rescue ServiceCleveland Fire BrigadeCornwall Fire and Rescue ServiceCounty Durham and Darlington Fire and Rescue ServiceCumbria Fire and Rescue ServiceDerbyshire Fire and Rescue ServiceDevon and Somerset Fire and Rescue ServiceDorset and Wiltshire Fire and Rescue ServiceDurham Tees Valley AirportEast Midlands AirportEast Sussex Fire and Rescue ServiceEdinburgh AirportEssex County Fire and Rescue ServiceFire Service CollegeGatwick AirportGlasgow Prestwich AirportGloucestershire Fire and Rescue ServiceGreater Manchester Fire and Rescue ServiceGuernsey Fire and Rescue ServiceHampshire Fire and Rescue ServiceHereford and Worcester Fire and Rescue ServiceHertfordshire Fire and Rescue ServiceHighland & Islands AirportHumberside AirportHumberside Fire and Rescue ServiceIsle of Man Fire and Rescue ServiceIsle of Wight Fire and Rescue ServiceIsles of Scilly Fire and Rescue ServiceJersey Fire and Rescue ServiceKent Fire and Rescue ServiceLancashire Fire and Rescue ServiceLeicestershire Fire and Rescue ServiceLincolnshire Fire and Rescue ServiceLondon Fire BrigadeLondon Heathrow AirportManchester AirportMerseyside Fire and Rescue ServiceMid and West Wales Fire and Rescue ServiceMODNorfolk Fire and Rescue ServiceNorthamptonshire Fire and Rescue ServiceNorthern Ireland Fire & Rescue ServiceNorthumberland Fire and Rescue ServiceNorth Wales Fire and Rescue ServiceNorth Yorkshire Fire and Rescue ServiceNottinghamshire Fire and Rescue ServiceNorwich AirportOxfordshire Fire and Rescue ServiceRoyal Berkshire Fire and Rescue ServiceScottish Fire and Rescue ServiceShropshire Fire and Rescue ServiceSouthampton AirportSouth Wales Fire and Rescue ServiceSouth Yorkshire Fire and Rescue ServiceStaffordshire Fire and Rescue ServiceSuffolk Fire and Rescue ServiceSurrey Fire and Rescue ServiceTyne and Wear Fire and Rescue ServiceWarwickshire Fire and Rescue ServiceWest Midlands Fire ServiceWest Sussex Fire and Rescue ServiceWest Yorkshire Fire and Rescue ServiceStation/Location* Watch (if applicable)NoneAmberBlackBlueGreenRedWhiteGroup 1Group 2Group 3Group 4Group 5Retained/On CallSelf RosterJob title Communicating with youThe Fire Fighters Charity processes personal data in accordance with its Data Protection Policy. For full details of how the Charity processes your data, please see our Privacy Policy.EmailAre you happy for us to contact you by email? Yes No PostAre you happy for us to contact you by post? Yes No PhoneAre you happy for us to contact you by phone? Yes No SMS TextAre you happy for us to contact you by SMS Text? Yes No Please let us know what types of communication you are happy to receive from the Charity.Would you like to hear about the different ways you can support the Charity? Yes No Would you like to receive news and information about the Charity? Yes No CAPTCHANameThis field is for validation purposes and should be left unchanged.
