ONE OFF DONATION

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Donation Type

Donation Amount*

£ 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
£ 100.00This could pay for three telephone counselling sessions with a trained professional
£ 0.00Other Amount Gift of your choice

Thank you for choosing to donate £20 today

Thank you for choosing to donate £60 today

Thank you for choosing to donate £100 today

Custom Donation (in £)*

Name*

Title First Last

Email*

Phone

Address*

Street Address Address Line 2 City Post Code

I am:*

Organisation Name

Organisation Name*

Would you like to tell us more about your fundraising activity?

My donation is in memory of:

Is there any other information you would like to tell us about your donation today?

Postal Thank You Letter

I would like to receive a postal thank you letter

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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