Donate by Bank Transfer

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Thank you for wishing to make a donation to Pilgrims Hospices via bank transfer. Once you have submitted this form, you will receive our bank details via email

Your details

Name*
Title Forename Surname

Address*
Address Line 1 Address Line 2 Town/City County Postcode

Email
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If you would be happy for us to contact you by email please tick here

If you would prefer not to receive information by post please tick here

Your Donation

Intended Donation Amount*
By letting us know the amount you intend to send us, we can better identify your donation when received.

Reason for Donation*

Name of person your donation is in memory of

Please provide details of the celebration you are donating in lieu of

For which event was this money raised for

Other reason

I would like to receive my Thank You via*

Email

Post

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Gift Aid - Increase the value of your gift by 25%

Yes. Please treat all donations I make now, and in the future, or have made to Pilgrims Hospices for the past 4 years as Gift Aid donations until further notice. I am a UK taxpayer and understand that if I pay less income Tax and/or Capital Gains Tax in the current tax year then the amount of Gift Aid claimed on all my donations it is my responsibility to pay any difference. I understand that Pilgrims Hospices will reclaim 25p of tax on every £1 that I have given.

I am not a UK taxpayer