Please use this form to start giving to Blood Cancer UK through your pay.

How often are you paid?	- Select Payment Method - Monthly 4 Weekly Fortnightly Weekly
You'll give the amount you've chosen above every time you're paid.

Personal details

Title:	Mr Miss Mrs Ms
Full name:
Home address:
Postcode:
Email:
Telephone:
National Insurance number:

Your employer's details

Employer's full name:
Workplace address:
Postcode:
Your employee/staff number:		This can be found on your payslip.

Your total donation: £0.00

This is the amount that will be deducted from your GROSS pay and how much Blood Cancer UK will receive from each pay day.

Cost to you: £0.00

This is how much your donation costs you, i.e. how much you will be donating from your net pay.

Blood Cancer UK would also like to keep you informed about how your support is helping blood cancer patients.

Yes please, contact me by email
Yes please, contact me by telephone
Yes please, contact me by post

The data supplied will be stored and used by Hands On Payroll Giving and associated organisations to enable your donation to be processed. Your details will be sent to your employer's payroll department and contracted Payroll Giving Agency.

You may be contacted in the event of a specific query needed to resolve the processing of your data for the purposes of these instructions. Hands On Payroll Giving will store your data in line with our internal Data Protection Policy for a period of 7 years, after which time we will delete your information. For more info please see our full Privacy Policy.

Your name and any contact details as specified above will be sent to your nominated charity/ies to assist with tracking your donation. If you have opted for 'no contact' your contact details will not be shared with your charity/ies. Charities may use Third Parties for support services, with whom they are contracted, and with whom they may share your data for processing purposes. To view your chosen charity's privacy statement, please visit their website.

By submitting this donation you are confirming this is a tax-free donation through your employer's Payroll Giving scheme that will not be included on any personal tax returns.