PTSD Resolution - Registered Charity No. 1133188

 

Payroll Giving Form

Please complete this form and give it to your HR payroll department

SURNAME ……………………………………………………………………….
TITLE: MRS/MR/MISS/MS

FORENAMES: ………………………………………………………………………………………………….

HOME ADDRESS: ……………………………………………………………………………………………..

………………………………………………………………………

POST CODE: …………………………

TELEPHONE NO: HOME ……………………………………..

WORK: …………………………………

N.I. NUMBER: ………………………………….

EMPLOYEE/STAFF NO: ………………………………

EMPLOYER’S NAME: ……………………………..

LOCATION (town): …………………………………

JOB TITLE: ………………………………………….

DEPARTMENT: ……………………………………..

AGE (please tick)                               16-25 26-35 35-46 46-55 56+

PLEASE FILL IN THE FOLLOWING:

Name and address of charity you wish to support      

How much do you wish to give?

 

Who Cares Wins,
Church Farm Lane,
Chalvington,
HAILSHAM,
BN27 3TD

 

£ ….……….………….

PER MONTH/WEEK OR OTHER (please specify) ………………………………………………………….

Are you an existing payroll giver? YES/NO

SIGNED ………………………………………………. DATE .…………………………………….

 

Once your employer sends this form over to us, we will send you a letter of confirmation to welcome you to Who Cares Wins.
Thank you so much for your generosity – it is only with the support of people like you that we can continue help those with military post traumatic stress.

If you have queries please contact Piers Bishop at: pb@ptsdresolution.org
PTSD Resolution: Registered Charity No. 1133188