Evelina London

Donation Amount

£10
£25
£50
Other:

Make your gift worth 25% more!

If you are a UK taxpayer, Guy’s and St Thomas’ Charity can reclaim the tax on your donation and receive an extra 25p for every £1 you donate.

Yes, I would like Guy’s and St Thomas’ Charity to treat this and any donations I make in the future or have made in the past four years, as Gift Aid donations. I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax in the current tax year than the amount of Gift Aid claimed on all my donations it is my responsibility to pay any difference. Please inform us if you no longer pay sufficient UK tax, change your name or home address, or wish to cancel at any time after the date of this declaration.

Donor Information

Name

Title

First Name

Last Name

Organisation Name

Contact Information

Address 1

Address 2

Country

State/Province

State

County

City

Postcode

Phone Number

Email Address

Keeping in Touch

Guy’s and St Thomas’ Charity will hold your details to process your donation and keep you up-to-date on fundraising and what’s happening at Guy’s, St Thomas’ and Evelina London Children’s Hospital. If you would prefer not to hear from us you can stop receiving further communications at any time by telephone on 020 7848 4701 or email info@supportevelina.org.uk. For information on how we will use your details please see our privacy statement.

We're sure you’re aware that Data Protection laws have recently changed so we won’t be able to contact you by email or SMS unless you provide your consent. Occasionally, we may get in touch to tell you about our vital appeals which support our hospitals, amazing events like our carol concert, or challenge events and volunteering opportunities.

Are you happy for us to use your contact details to let you know about fundraising, news and events by:

* Email?

Yes
No

* Text?

Yes
No

Payment Information

Card Holder Name

Card Number

Expiry MM

Expiry YY

CVV (?)

Bank Name

Bank ID

Cheque Number

Transit Number

Account Number

Every donation you make goes towards improving care for sick children

Donation Amount

Donor Information

Name

Contact Information

Payment Information