BACS transfer donations

Please complete the information below

An email will be sent to you to confirm we have received your information along with the bank details so you may make your donation. Please ensure the reference is the same as the one you have provided in the form

We will acknowledge your donation, thank you for wanting to donate to Meadow House, part of London North West Healthcare Charity.

Please remember to complete our gift aid form (link to Meadow House gift aid page) to add 25% to your donation.

First Name:(Required)

Surname:(Required)

Email:(Required)

Reference given:

Can we claim Gift Aid on your donation?(Required)

I want to Gift Aid any donation I have made within the last 4 years to LNWH Charity (who manage Meadow House Hospice). 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 us if you: - want to cancel this declaration - change your name or home address - no longer pay sufficient tax on your income and/or capital gains

Date transferred:

Comments

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