Thank you for making a regular donation to support

Hospice at Home West Cumbria




I wish to make a monthly donation to Hospice at Home West Cumbria for the following amount:

I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year it is my responsibility to pay any difference.





There is a problem with this form - please correct the errors and re-try

This form is protected by Google reCAPTCHA the Privacy Policy and Terms of Service apply