Tax Effective Giving CHY-4 Form

X/Twitter
This field is for validation purposes and should be left unchanged.
I would like to a sponsor a:
- Girl
- Boy
- No preference
First Name*
Last Name*
Email Address*
Address Details*
County**
Phone Number
If you enter your phone number, we will phone you once or twice per year with updates about the impact we have by working together.
ZIP/Postal Code
Country
As a supporter, you’re at the heart of everything we do. We’d love to keep you updated. Please update me by:
Check new*
- Email
- SMS
- Please don't send me a thank you letter by post - an email is sufficient.
From time to time we may be in contact with you to tell you how your support is helping change lives for the better and how you can help again should you choose to. You can change your communication preferences at any time by dropping us a line at [email protected] or giving us a call on 01 878 7911. Thank you!

URL
This field is for validation purposes and should be left unchanged.
I would like to a sponsor a:
- Girl
- Boy
- No preference
First Name*
Last Name*
Email Address*
Address Details*
County**
Phone Number
If you enter your phone number, we will phone you once or twice per year with updates about the impact we have by working together.
ZIP/Postal Code
Country
As a supporter, you’re at the heart of everything we do. We’d love to keep you updated. Please update me by:
Check new*
- Email
- SMS
- Please don't send me a thank you letter by post - an email is sufficient.
From time to time we may be in contact with you to tell you how your support is helping change lives for the better and how you can help again should you choose to. You can change your communication preferences at any time by dropping us a line at [email protected] or giving us a call on 01 878 7911. Thank you!

Payment Method
- Direct Debit
Credit Card
Feed Required: To use the Stripe field, please create a Stripe feed for this form.
Product Name
- €25 a month
- €75 per quarter
- €300 per year
IBAN
BIC
Select Duration
- 1^st of Month
- 7^th of Month
- No Preference
Untitled
- There is more that one signatory required to sign
What prompted you to support ActionAid?
For further information please see our privacy policy
Total
€ 0.00

X/Twitter
This field is for validation purposes and should be left unchanged.
First Name*
Last Name*
Email Address*
Address Details*
Phone Number
If you enter your phone number, we will phone you once or twice per year with updates about the impact we have by working together.
County*
ZIP/Postal Code
Country
As a supporter, you’re at the heart of everything we do. We’d love to keep you updated about our exciting work and the ways you can help.
Please update me by:*
- Email
- SMS
- Please don't send me a thank you letter by post - an email is sufficient.
From time to time we may be in contact with you to tell you how your support is helping change lives for the better and how you can help again should you choose to. You can change your communication preferences at any time by dropping us a line at [email protected] or giving us a call on 01 878 7911. Thank you!

Phone
This field is for validation purposes and should be left unchanged.
I would like to a sponsor a:
- Girl
- Boy
- No preference
First Name*
Last Name*
Email Address*
Address Details*
County**
Phone Number
If you enter your phone number, we will phone you once or twice per year with updates about the impact we have by working together.
ZIP/Postal Code
Country
As a supporter, you’re at the heart of everything we do. We’d love to keep you updated. Please update me by:
Check new
- Email
- SMS
- Please don't send me a thank you letter by post - an email is sufficient.
From time to time we may be in contact with you to tell you how your support is helping change lives for the better and how you can help again should you choose to. You can change your communication preferences at any time by dropping us a line at [email protected] or giving us a call on 01 878 7911. Thank you!

Payment Method
- Card
Credit Card*
Product Name
- €25 a month
- €75 per quarter
- €300 per year
This field is hidden when viewing the form
IBAN
This field is hidden when viewing the form
BIC
This field is hidden when viewing the form
Select Duration
- 1^st of Month
- 7^th of Month
- No Preference
This field is hidden when viewing the form
Untitled
- There is more that one signatory required to sign
What prompted you to support ActionAid?
For further information please see our privacy policy
Total
€ 0.00

Instagram
This field is for validation purposes and should be left unchanged.
Name*
First Name Last Name
Email Address*
Phone Number
If you enter your phone number, we will phone you once or twice per year with updates about the impact we have by working together.
Address*
Street Address City County / State / Region ZIP / Postal Code Country
Opt-in to hear stories about the life-changing work your support achieves, and other ways for us to stand together for women and children.
Please update me by:*
- Email
- SMS
- Please don't send me a thank you letter by post - an email is sufficient.
You can change your communication preferences at any time by dropping us a line at [email protected] or giving us a call on 01 878 7911. Thank you!

X/Twitter
This field is for validation purposes and should be left unchanged.
Name*
First Name Last Name
Email Address*
Phone Number
If you enter your phone number, we will phone you once or twice per year with updates about the impact we have by working together.
Address*
Street Address City County / State / Region ZIP / Postal Code Country
Opt-in to hear stories about the life-changing work your support achieves, and other ways for us to stand together for women and children.
Please update me by:*
- Email
- SMS
- Please don't send me a thank you letter by post - an email is sufficient.
You can change your communication preferences at any time by dropping us a line at [email protected] or giving us a call on 01 878 7911. Thank you!