Make a regular donation to support Saint Michael's

When you make a regular donation, it's a gift that keeps on giving. Regular donations help us to plan ahead in the knowledge we can care for more local families affected by terminal illness.

Your contact details

First Name *

Last Name *

Street Address *

Address Line 2

City *

Post code *

Your date of birth * +

Email address: *

Phone Number *

Your information will be used by Saint Michael’s Hospice, to provide you with the best service possible. Your details are safe with us. We will not sell or swap them. We will only use them in accordance with our information notice

Your gift

When you tell us you'd like to make a regular donation, a member of our team will contact you by telephone to set up your payment. You will not be charged today.

Would you like to give your gift annually or monthly? *

Annually

Monthly

I would like to give a monthly gift of *

£50

£20

£10

Or my preferred amount of Or my preferred amount of

I would like to give an annual gift of *

£500

£250

£150

Or my preferred amount of Or my preferred amount of

Thank you

Thank you - we'll contact you to set up your gift in your preferred way so that we can put it to good use helping local families as soon as possible.

Gift aid

Boost your donation by 25p of Gift Aid for every £1 you donate.
In order to Gift Aid your donation, you must tick the box below.
I am a UK taxpayer and understand that if I pay less Income/Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year, it is my responsibility to pay any difference.
Please notify the charity if you:
- Want to cancel this declaration
- Change your name or home address
- No longer pay sufficient tax on your income/capital gains tax
If you pay Income Tax at the higher or additional rate and want to receive the additional tax relief due to you, you must include all your Gift Aid donations on your Self-Assessment tax return or ask HM Revenue and Customs to adjust your tax code.

Gift Aid your donation *

I am a UK tax payer and I want to Gift Aid this donation and any donation I make in the future or have made in the past 4 years to Saint Michael’s Hospice

No thank you. I do NOT wish to Gift Aid my donation

I am not a UK Taxpayer

Staying in touch

Thank you so much - your support will make a huge difference to people living with terminal illness. We would like to keep you up-to-date about our work, fundraising activities and ways to get involved.

Emails and SMS are quick and cost effective. Please let us know if you are happy for us to stay in touch in these ways.

Email

Yes please, I’d like to hear from you by email

No thank you, I don’t wish to hear from you by email

Text message

Yes please, I’d like to hear from you by text message or MMS

No thank you, I don’t wish to hear from you by text message or MMS

Mail and telephone are also important ways we can communicate with you. Please tell us if you would rather we didn’t contact you in these ways.

No thanks, please don't contact me by post

No thanks, please don't contact me by telephone

You can update your preferences or unsubscribe from marketing at any time by calling us on (01423) 878 628 or emailing supportercare@saintmichaelshospice.org

By submitting this form you confirm that the above details are correct, you have read and accept the information notice and any terms and conditions

Saint Michael's uses third party form provider, Formsite. When you submit your information, you'll receive an email notification from Saint Michael's via Formsite.

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