	St Ann's Hospice needs to raise £16,000 a day

	Hire conference facilities

	A St Ann's Tribute Fund is one way of celebrating the life of a loved one...

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St Anns Hospice Donation Form

Your donation will be processed by WorldPay plc, who specialise in the secure online capture and processing of online transactions. The credit card form is secure and all processing of your donation is automatic.

Your details
Title
Firstname
Surname
Address
Post Code
Country
Tel No.
E-Mail
Donation Amount :	£ (in UK Sterling)
If you would like to have your donation go towards a specific St Ann's Hospice campaign or to sponsor an individual for an event, please enter the event/person name in the box below:
	Is your donation in response to the BBC's coverage of our patient Gerry Smith?
Name of campaign, event, person to sponsor, person in memory of
Make your donation worth more at no extra cost to you with Gift Aid!
New tax laws are benefiting charities by increasing the value of your donation with no additional cost to you. If you are a taxpayer, for every £1 you donate we can claim an extra 28p from the taxman. All you need to do is read the declaration below and check the box It's as easy as that. Gift Aid:
Declaration
"I would like St Ann's Hospice to reclaim the tax on all donations I have made in the last 6 years and all future donations I make to the charity until further notice, at no extra cost to myself" In order for St Ann's Hospice to reclaim the tax you have paid on your donation(s), you must have paid income or capital gains tax (in the UK) equal to the tax that will be claimed from the Inland Revenue (currently 25p for each £1 you donate) Please untick the box if you are not eligible to pay Gift Aid
Find out how much more your donation could be worth if you tick the Gift Aid box

Data Protection
St Ann's Hospice values your support and promises to respect your privacy. The data we gather and hold is managed in accordance with the Data Protection Act (1998). We will not disclose or share personal information supplied by you, with any third party organisation without your consent. We greatly value your support and would like to keep you informed about St Ann's Hospice. Are you happy to receive Hospice information from time to time which could include fundraising activities and other information that we feel may be of interest to you? yes no

We accept the following cards:


		Donate Home
		Donate online
		Regular Gift
		Gift Aid
		Leaving a gift in your Will
		St Ann's Lottery
		Text Competition
		Payroll Giving
		Donation in lieu of flowers
		Share Giving
		Patron Scheme
		Have your Say!