Thank you for supporting Maudsley Charity

We are currently fundraising for our Change the Story campaign for children and young people's mental health however if you wish for your donation to go either to our general fund or towards our COVID-19 emergency NHS staff and patient appeal, you can specify below.

Please note, unfortunately due to the impact of novel coronavirus, we are unable to take any telephone calls for the immediate and foreseeable future. We apologise for any inconvenience. We will update you if this changes on our website. If you experience any issues with the form, please email us at support@maudsleycharity.org. Thank you for your support, we really appreciate it.

Donation Amount

£10
£20
£50
Other:

Make your gift worth 25% more!

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

Yes, I would like Maudsley 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.

Donation Details

Name

Title

First Name

Last Name

Organisation Name

Contact Information

Address 1

Address 2

Country

County

State

County

City

Postcode

Phone Number

Email Address

Maudsley Charity will hold your details to process your donation and keep you up-to-date on fundraising and what’s happening at South London and Maudsley. 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@supportslam.org.uk. For information on how we will use your details please see our privacy statement I’m 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:

I allow South London & Maudsley Hospital to contact me by email

I allow South London & Maudsley Hospital to contact me by mail

I give South London & Maudsley Hospital permission to contact me by phone

Keeping in Touch

Maudsley Charity will hold your details to process your donation and keep you up-to-date on fundraising and what’s happening at the Charity. 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@supportslam.org.uk. For information on how we will use your details please see our privacy statement.
I’m 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 news, events and fundraising opportunities that support our mission to back better mental health.
Are you happy for us to use your contact details to let you know about news, events and fundraising opportunities by:

* Email?

Yes
No

* Text?

Yes
No

We are currently fundraising for our Change the Story appeal for Children and Young People's mental health however if you wish your donation to go either to our general fund or towards our COVID-19 emergency appeal, please select here.

Payment Information

Card Holder Name

Card Number

Expiry MM

Expiry YY

CVV (?)

Bank Name

Bank ID

Cheque Number

Transit Number

Account Number