Patchwork Appeal Donation form 2025 - Wigan & Leigh Hospice

You are making a donation of*
Please tell us why you have chosen to support our work
Reason for Donation*
Tell us more about your donation.
This is so we can properly process your kind donation
- Funds raised at an event
- Funds raised by an organisation I am part of
- Other reason
Please check and confirm these conditions:
Own money?
- This is my own money, I’m not paying in money collected at an event or on behalf of a group, company, family member or friend.
Not receiving anything in return
- I’m not receiving anything in return for my donation e.g. event entry, prize, merchandise
Gift Aid

Boost your donation by 25p of Gift Aid for every £1 you donate.

Gift Aid is reclaimed by the charity from the tax you pay for the current tax year. Your address is needed to identify you as a current tax payer
Gift Aid is a government scheme for UK charities to reclaim the tax you have paid and gain 25% more at no cost or hassle to you. I am a UK tax payer and I understand that if the Gift Aid claimed on my donation/s is more than the tax I pay in the current tax year (on my income and/or capital gains), it’s my responsibility to pay the difference.*
- I wish Wigan & Leigh Hospice to claim Gift Aid on all donations I have made in the last four years and all donations I make from the date of this declaration until I notify you otherwise.
- I want to Gift Aid this donation only
- No, do not add Gift Aid

Billing Details
Title*
Other*
First Name*
Last Name*
Email address*
We will use your email address to confirm and acknowledge your donation.
Enter Email Confirm Email
Shipping Address*
Is your shipping address the same as your billing address?

Street Address* Address Line 2 City* County* Post code* Country*
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Mobile/Telephone
Please select if you would like a thank you letter posted to you
Keeping in touch
Please tick the relevant boxes to receive e-newsletters.
Communications*
- I would like to receive information from Wigan & Leigh Hospice on the latest updates, events, e-newsletter and other information that may be of interest to me.
- No thanks
Or call us to specify which communications you would like to receive on 01942 525566.
Total
£ 0.00
Consent
I agree to the privacy policy.

Gift Aid