Robbie's Rehab SCH single payment donation - Southampton Hospitals Charity

Personal Info

Title *

First Name *

Last Name *

Email Address *

Phone number

Additional information

Why are you donating?

Please use this box to to give us more information

Stay in touch

Yes, please keep me updated by email Yes, please keep me updated by phone No thanks, I’d prefer not to stay updated by post I do not wish to be contacted

We’d love to keep you updated with how your support is enhancing the lives of patients being treated at University Hospital Southampton, as well as future projects. You can unsubscribe or change the way you hear from us at any time by emailing charity@uhs.nhs.uk

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 *

Boost your donation by 25p of Gift Aid for every £1 you donate. This will make every pound worth an EXTRA 25%!

Add 25% more to your donation at no cost to you. A Gift Aid declaration allows Southampton Hospitals Charity to claim tax back on eligible donations. It means that for every £1 you donate to Southampton Hospitals Charity we can claim back 25p, at no extra cost to you.

I want to Gift Aid this donation and any donations I make in the future or have made in the past 4 years to Southampton Hospitals Charity.

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 in that tax year it is my responsibility to pay any difference. Please notify Southampton Hospitals Charity if you want to cancel this declaration, change your name or home address, or no longer pay sufficient tax on your income and/or capital gains. If you pay Income Tax at the higher or additional rate and want to receive the additional tax relief due to you, you must include all your Gift Aid donations on your Self-Assessment tax return or ask HMRC to adjust your tax code.

Gift Aid Address

Please use the billing details address
I'd like to use another address

Country *

Address 1 *

Address 2

City *

County *

Postal Code *

Donation Total: £10.00

Robbie’s Rehab SCH single payment donation

Details