Derian House Childrens Hospice

Thank you

For your donation. If you would like to let us apply for Gift Aid on your behalf, please fill out the form below

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(you don't have to give your email address, but if you do, we can contact you more easily if we need to double-check the details of your donation)
	I would like to Gift Aid a one-off donation of £ sent by -- Paypal Cheque Bank transfer other
	OR: I would like to Gift Aid all donations from today sent by any method, until I notify you otherwise.
To qualify for Gift Aid, what you pay in income tax or capital gains tax must at least equal the amount the charity will claim in the tax year.

for those with no clear idea of how much time together they have left, every second counts