Payroll Giving Amendment Form

I would like to increase the amount I donate to Charities @ Work each payday from
£ to £ per month/week. (Please circle the appropriate frequency)

Please print out this form and return it to us at:
34 Whidbourne House, Tonbridge Street, London WC1H 8HG

In order to amend the deductions from my pay, I understand I need do nothing more than complete and return this form to Charities @ Work.

I also give to other charities through my payroll (please tick box if appropriate) [ ]

My personal details are:

This form uses images as text

My employer’s details are:

This form uses images as text

We would like to keep you up to date with information about Charities @ Work.
Please tick the box if you do not wish to receive this information: [ ]

Thank you for your time and support, from all of us at Charities @ Work