Peace Hospice - Donations

You can specify whether your donation is ‘In Memory, In Honour, or In Celebration’ and detail the name of the person or event on the next step.

*Title

*First Name

*Surname

*Address

*Postcode / Zip code

*Country

Day Telephone Number

Evening Telephone Number

*Email

*Confirm Email

*These need to be filled in.

*Your donation to The Peace Hospice: £

*Donation Type

Please select your Tribute Fund

Tribute message (optional)

Name of Person

(if applicable)

**Say ‘Yes’ to Gift Aid

** Please treat as Gift Aid donations all qualifying gifts of money made today, in the past 4 years and in the future. I confirm I have paid or will pay an amount of UK Income Tax and/or Capital Gains Tax for each tax year that is at least equal to the amount of tax that all the charities that I donate to will reclaim on my gifts for that tax year. I understand that other taxes such as VAT and Council Tax do not qualify. I understand the charity will reclaim 25p of tax on every £1 that I have given.
Gift aid it

*Your donation to The Peace Hospice: £

*Name on card

*Card Type Credit Cards

*Card Number (no spaces please)

Start Date (required for Switch and Solo) (mmyy) eg 0210 for Feb 2010

*Expiry Date Month Year

Issue Number (Exactly on card eg 1 or 01)

*Security Code (Last 3 digits on signature strip)

Tick here if the address below is the same as the address you entered before

*Address Card is Registered at:
(Please note postcode must be entered below)

*Postcode Card is Registered at

By clicking on this box I confirm that all the details above are correct.

*These need to be filled in

We do not store any credit card details or other sensitive information
at www.peacehospice.org.uk. All transactions are processed by
SagePay, who use bank-approved software and the highest level of
encryption to ensure that your credit card details are kept secure
at all times.