Ucl Hospitals Charitable Foundation Donation Form - Brighter Futures printable pdf download

Ucl Hospitals Charitable Foundation Donation Form - Brighter Futures

Donation Form

Name of Charity: Brighter Futures

Charity Registration Number: 1050892

Title:_______Forename:______________________Surname:___________________________

Address:_____________________________________________________________________

____________________________________ Post Code:_______________________________

Tel :____________________________ Email address:_______________________________

I wish to make a donation of £________ to go towards ___________________appeal/fund/ward

I enclose:

Cheque Postal Order

Caf Voucher

Please make cheques or postal orders payable to “Brighter Futures”

Please debit my credit card

Visa

Mastercard

Delta

Switch

Solo

Please note that when you make a donation by debit or credit card we will telephone you to

process the payment with your 3 digit security number. Please ensure you provide a daytime

telephone number. Thank you.

Signature……………………………….

Date………………………………………….

Can you gift aid your donation?

Gift Aid enables us to claim tax back on your donation, giving us an extra 25p for every £1 that

you donate. By completing the next section of the form, you will enable us to claim the tax back

on your donation.

Ucl Hospitals Charitable Foundation Donation Form - Brighter Futures