SILVER Friend of Hospice

Please complete the form below to donate £15 per month and become a

Silver Friend of Hospice

Your name

Your address *

Your email address*

Your phone number

I want to be a Silver Friend of Hospice

£15

Would you like to Gift Aid your donation? Every £1 will be worth £1.25 to us at no extra cost to you

Yes I would like you to claim Gift Aid on my donations

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.

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Please enter your card details below

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When you press Donate we will take to you a secure form to enter your bank account details

Can we send you emails?

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How would you prefer us to get in touch with you?

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