Single Donation - City Hospice

Step 1: Your Donation

Please select a donation amount*

How much would you like to donate?*

If you are a UK taxpayer your donation could be worth 25% more at no extra cost to you.

Giftaid

I confirm that I would like all my donations, past, present and future to City Hospice (Reg. Charity No. 1023311), to be treated as Gift Aid donations. I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations to all charities in that tax year it is my responsibility to pay any difference. Please advise us if your circumstances change.

Tell us why you're donating today*

If 'other', please specify:*

Leave us a message relating to your donation*

How did you hear about us?

Step 2: About You

Title*

First Name*

Last Name*

Email Address*

Telephone Number*

Address*

Street Address Address Line 2 City Postcode

Keeping in touch

In addition to contacting you with administration information, such as when setting up a gift or volunteering, we'd love to keep you posted with our news, activities and how you can help in other ways. We'll never sell or swap your details with anybody else.For more information see our privacy policy.

You are free to change your mind at anytime. Please tick these boxes to tell us if you are happy for us to contact you about…

Contact About...

Volunteering for us
News from the hospice
Leaving a gift in your will

How would you like us to keep in touch?

Contact Via...

Select All
Via email
Via telephone
Via post

Your Privacy

We will always store your personal details securely. We’ll use them to provide the service that you have requested, and communicate with you in the way(s) that you have agreed to. Your data may also be used for analysis purposes, to help us provide the best service possible. For full details see our Privacy Policy or contact us on 029 2052 4150

Processing Fee Amount

Cost: £ 0.60

Processing Fee Amount

Cost: £ 0.60

Cover Processing Fee

I am happy to cover the cost of the 2% payment processing fee.

Step 3: Payment Options

Payment Method*

Credit Card*

Please ensure you fill out all card details including the expiry date and security code.

Card Details

Cardholder Name

Total Donation

£ 0.00