Donation Amount

I would like to make a donation for the amount of:

or
   


If you encounter any problems with your payment please contact us by email: rjah.fundraising@nhs.net or phone 01691 404190 or 01691 404455. We will endeavour to resolve your query within seven working days. Refunds will be made to the card used.

I would like to make this donation to:

This donation is on behalf of a company.

Yes, I am a UK tax payer and I would like The RJAH Charity to treat all the donations I make from 1 April 2009, until I notify you otherwise, as Gift Aid donations. I confirm I have paid or will pay an amount of Income Tax and/or Capital Gains Tax for the current tax year (6 April to 5 April) that is at least equal to the amount of tax that all the charities and Community Amateur Sports Clubs (CASCs) that I donate to will reclaim on my gifts for the current tax year. I understand that other taxes such as VAT and Council Tax do not qualify. I understand the RJAH Charity will reclaim 25p of tax on every £1 that I have given. For more information on Gift Aid visit the Gift Aid page on HMRC website

Personalise Donation

Please use the comment box below to tell us about your donation or fundraising activity.

(Maximum characters: 300)
Remaining:

Yes, I am happy for my comments to be used for RJAH publicity. I understand that comments and image will be moderated before appearing on the website. An extract of up to 140 characters will be used.

Yes, I am happy for my name to be published along with my comment.

Upload an image to accompany your comment.

Choose file

Upload your fundraising image or a picture of yourself (optional). The image must be no greater than 900 x 900, and less than 4MB in size. Alternatively you can email your image to: rjah.fundraising@nhs.net

All fields marked with an * are required.

  • Title: *  

  • First Name:*  

  • Surname:*  

  •  

    Yes, I confirm these details are all correct and accurate.

     

    Yes, I agree to The Robert Jones and Agnes Hunt Hospital Charity keeping a record of my donation and personal information.
    Your information will only be used to administer charitable donations, and RJAH marketing/publicity if you have ticked the boxes above, and will not be passed on to any third party commercial organisation. If you would like any further information about your rights under the Data Protection Act, please contact the Trust.