Donation In Memory

You are making a donation of*
Please tell us why you have chosen to support our work. If you are donating in memory of a loved one, to celebrate a special occasion, paying in money from an event or a workplace or school fundraiser, please let us know in the box below.
Name of the person you are donating in memory of*
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 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
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

Billing Details
Title*
Mr
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* United Kingdom
Billing Address*
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country United Kingdom
This field is hidden when viewing the form
Telephone Number
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 on the following.
Please select any communications that you would like to receive
- Yes, I would like to receive email marketing from Wigan & Leigh Hospice
Or call us to specify which communications you would like to receive on 01942 525566.
Total
£ 0.00

Billing Details