Make Today Matter A little can go a long way to Making Today Matter for our patients and their families
£20 would ensure all patients have access to comfortable nightwear while in the In-Patient Unit
£30 would contribute towards petrol costs for one volunteer driver to collect a patient and carer to attend a sessions at our Living Well Hub £40 would help make birthdays more special with gifts for patients
£50 will help towards the development of activity kits for younger visitors to our In-Patient Unit i.e. colouring books and pencils
Your details Name:
Address:
Postcode
Contact no:
I enclose a cheque made payable to the Ayrshire Hospice or please debit my: Card number Maestro only
Visa Mastercard Maestro Delta
Valid from
Expiry date
Security code
Issue no (Maestro only)
(last 3 digits on the back of your card)
Signed by:
Date:
Gift Aid your donation! It will boost your donation by 25p of Gift Aid for every £1 you donate. Gift Aid is reclaimed by the Ayrshire Hospice from the tax you pay for the current tax year. Your address is needed to identify you as a current UK taxpayer. In order to Gift Aid your donations, you must tick the box below: I want to Gift Aid any donations I make in the future or have made in the past 4 years to the Ayrshire 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, home address or if you 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 recieve the additional tax relief due to you, you must include all your Gift Aid donations on your Self-Assessment tax return or ask HM Revenue & Customs to adjust your tax code.
Return your completed form to our Fundraising Office at 29 Miller Road, Ayr, KA7 2AX. Thank you for your support.
Made with FlippingBook - Share PDF online