Donate Your Plate

£ Donation Amount:

£5 could pay for meals for a patient at the end of their life
£10 could pay for 1 hour of housekeeping to keep the hospice infection free
£28 could pay for 1 hour of one-to-one nursing care for a patient
Or give another amount

Would you like to Gift Aid your donation? Yes, I want to Gift Aid my donation

For every £1 you give we get an extra 25p from HMRC. To enable St Giles to reclaim the tax on your donation simply tick the box above and complete your full name, home address and postcode. Your details support our tax claim and will not be used to contact you.

By ticking the box headed Gift Aid, I confirm that I am a UK Income or Capital Gains taxpayer. I have read this statement and want St Giles Hospice to reclaim tax on my donation. I understand that if I pay less Income Tax / or Capital Gains tax in the current tax year than the amount of Gift Aid claimed on all of my donations, it is my responsibility to settle any tax liability that may arise.

How did you hear about Donate Your Plate? *

Please give details about your reason for donating

By donating to St Giles Hospice you are helping to care for local people, and their families, living with a terminal illness, thank you. By completing this form you are giving consent for St Giles Hospice to use your data for administrative purposes related to this event or activity. We value the support we receive from our local community and take the protection of your data very seriously. We will never pass your information to anyone outside the St Giles Hospice Group who isn’t directly working on our behalf, and we will keep your details safe and secure. St Giles Hospice Group will also use your personal data to send you occasional information by post about our work, events and activities, on the basis of our legitimate interest to do so in order to help us continue to care for local people, and their families. If you would prefer not to hear from us in this way, please tick the box.

We are also trying to reduce costs by sending this information electronically to our supporters where appropriate. Please tick the relevant boxes if you are happy to receive information about St Giles Hospice events and activities in the following ways: Email Text Telephone

Remember, you can change your choices at any time by contacting us to let us know. Our full Privacy Statement is available at www.stgileshospice.com/privacy-policy/ or by calling 01543 432031

Select Payment Method

Credit Card
Direct Debit

Personal Information

First Name *

Last Name

Email Address *

Comment

Credit Card Info

This is a secure SSL encrypted payment.

Card Number *

CVC *

Cardholder Name *

Expiration *

Billing Details

Country *

Address 1 *

Address 2

City *

County *

Zip / Postal Code *

Donation Total: £5.00

It’s your life, and that’s what matters

St Giles Hospice
Fisherwick Road
Whittington
Lichfield
WS14 9LH
Tel: 01543 432031
Email: enquiries@stgileshospice.com