Donate
Thank you for supporting Hospiscare
Your donation amount:
Your name
*Title:
*First name:
*Last name:
Phone:
Your card billing address
*Address line 1:
Address line 2:
*City:
*Postcode:
*Email address:
By providing us with your email address you are agreeing to be contacted in this way. You can opt-out of receiving updates from us below.
THE REASON FOR YOUR DONATION
*Please select one option:
*Please tell us why you held this event:
*Name of company:
*Name of Event:
Please tell us about your donation:
Name:
Relationship to you:
Using your information

Supporters of Hospiscare are precious and we will not sell your details onto anyone else. We would like to keep in touch with news about our work and fundraising activities. If you DO NOT wish us to contact you by the following means please tick the relevant box:

Phone

Mail

Email

Gift AID your donation

If you are a UK taxpayer we are able to claim an extra 25p for every £1 you donate. On the next page please read the Gift Aid statement and tick if you are eligble for Gift Aid to be claimed from your donation.

Accessibility

Hospiscare acknowledges that the information on this website should be in a format which is accessible to all, regardless of ability or disability.

 

This website has been designed and built to be user-friendly and complies with W3C WAI (World Wide Web Consortium Web Accessibility Initiative) Level A Guidelines.

 

You can use the A icons at the top of the web page to change the size of the text. You can also change the colour contrast of the site by clicking on the circle in the top right corner.  

 

If you have any difficulty in using this site please contact:

Sarah Raynor

Marketing & Communications Manager

Email: s.raynor@hospiscare.co.uk

Tel:     01392 688021