Donation Form - Monthly - Manchester University NHS Foundation Trust (MFT) Charity

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Make A Monthly Donation

Please complete the form below to make a monthly donation to Royal Manchester Children's Hospital Charity. If you would prefer to set up a direct debit please complete this document.

Donation Information

Amount:

£ 5.00

£ 10.00

£ 20.00

£ 50.00

£ 100.00

Other

£

*

Designation:

Other

*

Additional Information

Type of gift:

Recurring gift

Frequency:

Starting: Ending:

Corporate:

This donation is on behalf of a company

Comments:

Gift Aid:

I would like Manchester University NHS Foundation Trust (MFT) Charity to treat all donations I have made in the last four years and all donations I make in future as Gift Aid donations. I am a UK taxpayer and understand that if I pay less Income Tax or Capital Gains Tax in the current tax year than the amount of Gift Aid claimed on all my donations, it is my responsibility to pay any difference. What is Gift Aid?

To save costs we will not post you a receipt:

Communication Preferences

I wish to receive general charity news about projects and how I can help via:

Communication Type

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Billing Information

Title:

*

First name:

*

Surname:

*

Country:

*

Postcode:

Address lines:

*

City:

*

County:

Phone:

*

Email:

*

Payment Information

Cardholder's Name:

*

Credit Card Number:

*

Card Type:

*

Valid From:

/	(Maestro/Switch/Solo only)

Card Expiry:

/

*

Issue Number:

(Maestro/Switch/Solo only)

Card Security Code:

help

*

Note: The Card Security Code is not required for Maestro, Switch and Solo cards.

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Part of Manchester Foundation Trust Charity, registered with the Charity Commission
as Manchester University NHS Foundation Trust Charity. Registered charity 1049274.