Donations

If you require any assistance, please call
0303 303 0145,
email fundraising@revitalise.org.uk
or write to
212 Business Design Centre, 52 Upper Street, London,
N1 0QH

Please provide your contact and payment information below.

* required

I would like to make a personal donation:
I would like to make a donation on behalf of an organisation:

Connecting to Facebook, please wait...

Title:
* Forename:
* Surname:

Contact Information
Please provide the registered address of the card



Enter address manually
* Address:

* City/Town:
* Country:
* * County:
* Postcode:
Telephone Number:	( )
Mobile Number:
* Email Address:


I am happy for Revitalise to contact me by text

Can we stay in touch?

We’d love to send you updates, stories and ways you can help be there for people who need a break.

Revitalise promise never to swap or sell your information with another organisation. We may use your details for carefully considered purposes and send you occasional postal mailings like our newsletter and appeals. To hear more or less from us at any time, please call 0303 303 0145 or email fundraising@revitalise.org.uk

For information on how we use your details and how we keep your details safe, please read our privacy policy

I am happy for Revitalise to contact me by email
I am happy for Revitalise to contact me by text

* How did you hear about us?

Payment Information

Pay using Credit Card
Card Security Number is not supported in data entry. To process a credit card payment, you need to disable Card Security from the Electronic Payment page in the Configuration tab.
Payment Method:	One Time Payment Credit Card
* * Donation Amount: £	£25.00 £50.00 £100.00 £250.00 Other
Boost your donation by 25p of Gift Aid for every £1 you donate Gift Aid is reclaimed by the charity from the tax you pay for the current tax year. Your address is needed to identify you as a current taxpayer. I confirm I am a UK taxpayer and understand that if I pay less Income 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.. . Yes, I would like to add Gift Aid to my donation No, I am not a UK tax payer
* Processing Date:
* Number of Installments:
	installments
Pay using PayPal
* Credit Card Type:
* Credit Card Number:
* Card Security Number:	Where is my Card Security Number?
* Cardholder's Name:
* Credit Card Expiry Date:
Start Date:
OR Issue Number:

* Bank Name:
* Bank ID:
* Cheque No.:
* Transit No.:
* Account No.:

Cookie Policy

Contact Information Please provide the registered address of the card

Payment Information

Contact Information
Please provide the registered address of the card