Personal Details

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

Your Employer's Details

Employer's Full Name:
Workplace address:
Postcode:
Your Employee/Staff number:		This can normally be found on your payslip.

Can we stay in touch?

From time to time we’d like to send you exciting updates about our work, products, services and how you can support us, including fundraising activities and research by post. Please choose how you’d like to be contacted:

You can send me updates by email

You can contact me by phone

You can contact me by post

How we use your information For over 50 years, we’ve promised to never put down a healthy dog. We keep our promises, and that includes treating your personal details with care. In order to communicate with you more effectively and better understand your preferences and ability to support our work, we may analyse your data. You can request that we stop this at any time by contacting us using the details given below. For more details about how we use your information, please visit our privacy section We will only share your information within the Dogs Trust Group – currently Dogs Trust Worldwide, Dogs Trust Ireland and Dogs Trust Promotions – and never with a third party. You can opt out of communications or change your preferences at any time by using this web form or phoning 020 7837 0006.

Your total donation: £0.00

This is the amount that will be deducted from your GROSS pay and how much Dogs Trust 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.

The data supplied on this form will be used to enable your donation to reach Dogs Trust. In order that your instructions can be acted on, your details will be passed to a HM Revenue & Customs registered Payroll Giving Agent, with whom your employer has a contract, who will forward your donation to Dogs Trust. The Payroll Giving Agency (a charity in their own right) may deduct a processing fee from your donation, this is between 25p and 4%, some employers pay this on your behalf, for further information call the helpline below. Hands On Payroll Giving will record the details shown on this form for administration purposes, please see Privacy Policy for details.

I confirm that my pre-tax donation through my employers Payroll Giving scheme will not be included in GiftAid claims