iMRI Scanner Appeal - Manchester University NHS Foundation Trust (MFT) Charity

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iMRI Scanner Appeal Donation Form

Donation Information

Amount:

£ 5.00

£ 10.00

£ 20.00

£ 50.00

£ 100.00

Other

£

*

Additional Information

Frequency:

On:
Starting: Ending:

Corporate:

This donation is on behalf of a company

Comments:

Gift Aid:

I am a UK taxpayer and 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 have paid income tax and/or capital gains tax for each tax year at least equal to the tax you, and all other charities and Community Amateur Sports Clubs (CASCs) that I donate to, reclaim on my donations for that tax year. I understand that VAT and Council Tax do not qualify. What is Gift Aid?

How did you hear about the iMRI Scanner Appeal:

Bank Transfer/Payment
Charity Website
Clinician Referral
E-Newsletter
Facebook
Mailing
Newspaper
Online Giving Platform (External)
Other
Payroll Giving Site (External)
RMCH Charity Office
Social Media
Staffnet
Store/Shop
Text Donation
Thankyou Newsletter
Trust Site/Hospital
TV Programme
Visufund Site
Xmas Stall
Contactless CBox

Acknowledgment by post:

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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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Royal Manchester Children’s Hospital Charity is part of Manchester University NHS Foundation Trust Charity. Registered charity 1049274.