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Your Details
Title*
First Name*
Last Name*
Address*
Town/City*
Post code*
Telephone*
Mobile
Email*
Date of Birth dd/mm/yyyy
In honour/memory of
Reason for donation

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Donation details


Your donation:
Please enter the amount you would like to donate

£
.

If you are eligable to claim gift aid and tick the
box below your actual donation will be:

£XXX

A donation is worth more if you Gift Aid*
Yes, I am a UK tax payer* and I would like Douglas Macmillan Hospice to treat all donations I have made for the 4 years prior to this year, and all donations I make in the future as gift aid, until I notify you otherwise.

Please tick

*You must pay an amount of income or capital gains tax (e.g. work earnings, occupational or private pension, savings) in the UK equal to the money we can claim on your donations in the tax year. The Hospice can currently claim 25p for every £1 you donate from HM Revenue & Customs. This does not affect your tax position.


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