RECURRING DONATION

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Donation Type

Donation Amount

£ 10.00This could provide protective disposable gloves for a week of care within the Hospice at Home team
£ 20.00Could pay for a nurse or carer’s uniform
£ 60.00Could pay for a daytime Hospice at Home visit with two carers, enabling a patient with a life-limiting illness to be cared for in their own home, safe in familiar surroundings with family and friends
£ 0.00Gift of your choice per month

Thank you for choosing to set up a regular gift to Longfield Hospice of £10 per month

Thank you for choosing to set up a regular gift to Longfield Hospice of £20 per month

Thank you for choosing to set up a regular gift to Longfield Hospice of £60 per month

Custom Donation*

Name*

Title First Last

Email*

Phone

Address*

Street Address Address Line 2 City Post Code

Is your donation in memory of someone special?*

My donation is in memory of:

Reclaim Gift Aid*

Add 25% more to your donation at no cost to you. A Gift Aid declaration allows Longfield Hospice to claim tax back on eligible donations. It means that for every £1 you donate to Longfield Hospice we can claim back 25p, at no extra cost to you

Yes, I confirm I am a UK taxpayer and would like all my donations to Longfield Hospice made now, in the past four years and in the future to be treated as Gift Aid donations
No, I am unable to Gift Aid my donation

Please remember to let us know if your tax status, name or address change or if you wish to cancel your Gift Aid declaration.

Contact Preferences*

We’d love to get in touch from time to time to keep you informed about the work of Longfield and provide you with exciting updates on our care, news and ways you can get involved. Please tick the boxes below to indicate your preferences on how you want to hear from us

Post
Email
Telephone
I do not wish to be contacted in future

Your information is held in a secure manner and we do not share your information with third parties, except for essential payment processing. You can at any time update your communication preferences with us by contacting the Fundraising Department. Click here to see our privacy notices and fundraising promise.

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