Making a Regular Donation

Your generous support keeps Devon’s Air Ambulances flying – to make a regular donation, please complete the attached Direct Debit form or follow instructions on the main menu of our website home page.

Keeping in Touch

There are many ways to contact the team at Devon Air Ambulance: www.daat.org – You’ll find lots of information about the Charity and our service on our website.

If you’ve been airlifted or helped by us, go to our Your Patient Story page and tell us your story. daat.org/your-story

For all sorts of fundraising advice and event information, vist our Get Involved pages. daat.org/fundraising

Please fill out all boxes in the form with a ball-point pen and send it to: Devon Air Ambulance Trust, 5 Sandpiper Court, Harrington Lane, Exeter EX4 8NS

Name(s) of Account Holder(s)

If you’ve been assisted by DAA, and want to thank the crew visit the Thank the Crew page at our operational website. daat.org/thanks

Email us at info@daat.org

01392 466666 Write to us at 5 Sandpiper Court, Harrington Lane, Exeter EX4 8NS

Bank/Building Society account number

Branch sort code

Name and full postal address of your Bank or Building Society

To: The Manager of Address

Bank/Building Society

Signature(s)

Postcode

Date

Banks and Building Societies may not accept Direct Debit instructions from some types of account

Please now complete your details below

I wish to give Devon Air Ambulance Trust a donation of £ per month/quarter/year (delete as appropriate)

Please take Direct Debits on 6th/20th of the month (delete as appropriate)

We take your personal data seriously and do not sell on or share with any third party. If you would like to receive our Helipad magazine or occasional information about the Charity please tick: Post ¨ Email ¨ or share with any third party. If you would like to receive our Helipad magazine or occasional information about the Charity please tick: Post ¨ Email ¨ Telephone ¨ SMS Message ¨

¨ I want to Gift Aid my donation of £ to Devon Air Ambulance

¨ I want to Gift Aid my donation of £ and any donations I make in the future or have made in the past 4 years to Devon Air Ambulance

Please notify the charity if you:

Want to cancel the declaration

Change your name or home address

• No longer pay sufficient tax on your income and/or capital gains

I confirm I am a UK taxpayer and 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. ¨