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Payroll giving form

**Special offer - we will be giving our Charity of the Year an extra £10 for every new person who signs up to donate to Prostate Cancer UK via payroll giving. Simply complete the form and Royal Mail will give an extra £10 on top of your donation. Offer ends March 2013**

Payroll giving options
* If you select this option you only need to enter the amount you would like to donate in the section below

Royal Mail Group's payroll giving agency, Charities Trust, charges a nominal 25p per month per donor to cover administration costs up to a limit of £3 a year in total

Amount to be deducted each time you get paid.
Amount to be deducted each time you get paid.
Amount to be deducted each time you get paid.
Amount to be deducted each time you get paid.
Amount to be deducted each time you get paid.
Amount to be deducted each time you get paid.
Amount to be deducted each time you get paid.
Amount to be deducted each time you get paid.
Add another charity
Personal details
Please select which Business Unit you work for and give the address of the site where you work
Unless you select this box your details will be passed over to the charities you have chosen.
Further interest
Please indicate if you are interested in any of the above

Data Protection Act:- Charities Trust will use your information for administration and analysis. We may share your information with other companies or carefully selected third parties. We, or they, may send your details of other goods and services which may be of interest to you. The information may be provided by letter, telephone or other reasonable means of communication.