Pretty please can you help
me raise some dosh?
MY NAME
MY EVENT
DATE
Gift Aid your donations
We, who have given our names and addresses below and
have ticked the box headed ‘Gift Aid’, want the charity
named above to reclaim tax on the donation detailed
below, given on the date shown. We understand that each
of us must have paid an amount of income tax or capital
gains tax at least equal to the tax reclaimed by the charity
on the donation. We understand that the charity will
reclaim 25p of tax on every £1 that we have given.
please
tick
FULL NAME
ADDRESS
POSTCODE
AMOUNT
GIFT AID
with your help
BRIGHTENING THE LIVES OF ALL OUR PATIENTS
WSHospitalsCharity.org 0151 426 1600 Registered charity in England and Wales: 1053125
@WSHospsCharity
FULL NAME
ADDRESS
POSTCODE
AMOUNT
GIFT AID
please use
BLOCK CAPITALS
FULL NAME
ADDRESS
EMAIL ADDRESS
POSTCODE
Thank you for supporting your local hospital charity. We ask that you pass any money you raise to us as soon as possible after the event.
To pay by credit card/debit card. Please call our hospital cash
office directly on 0151 430 1145. You will need to remember
to post your sponsorship forms separately so that we can
collect Gift Aid. Please post to the address provided.
Or to pay by cheque, please make cheques payable to
St Helens and Knowsley Teaching Hospitals NHS Trust and send
with your sponsorship forms to: Whiston and St Helens Hospitals’
Charity, Whiston Hospital, Warrington Road, Prescot L35 5DR.
Your donation will be automatically placed into a general fund
and will be allocated to where it is most needed to help patients.
If you would like to express a wish as to where your donation will
be allocated please indicate this here. Thank you.
Ward/department name
If you would prefer not to receive information about services and developments at St Helens and Knowsley Teaching Hospitals NHS Trust,
which may benefit our charity, please tick this box
Get in touch with us, email [email protected]
Registered charity in England and Wales: 1053125