You are making an appeal donation

Complete the form below to make a single, one-off donation.

If you would like to set up a monthly donation by direct debit, please click here.

Title*
Prefix
Name*
First Last
Home Address*
ZIP / Postal Code

CI0M-YEWX-MTAM-FKPS

KeitWilson1196485

1

0

Select an Address:

Name/Number and Street Town/City County / State / Region Country
Email address*
Contact Number*
How did you hear about us?*
Appeal donation (£)*
My donation is...*
- In memory of a loved one
- Sponsorship money
- Other
Reason for donation*
Make your donation work harder

If you’re a UK taxpayer, the value of your donation can be increased to without costing you anything extra when you fill in the Gift Aid Declaration below.
Gift aid declaration
I want to Gift Aid any donations made to Hampshire and Isle of Wight Air Ambulance now, in the future and in the past four years. I am a UK taxpayer and I understand that if I pay less Income and /or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in the relevant tax year, it is my responsibility to pay any difference. I understand that Hampshire and Isle of Wight Air Ambulance will reclaim 25p of tax on every £1 that I give. Gift Aid is reclaimed by Hampshire and Isle of Wight Air Ambulance from the tax I pay for the current tax year. Please advise us if your circumstances change.
Agreement
- Yes, add Gift Aid. I agree that the above statement is true.
Keeping in touch
We’d like to keep you up to date with the latest charity news, patient stories and activities. Please tick the box(es) as appropriate:
- I would like to receive updates by email.
- I would like to receive updates by post.
This field is hidden when viewing the form
UTM Source
This field is hidden when viewing the form
UTM Content
This field is hidden when viewing the form
UTM Term
I understand that I can unsubscribe at any time by clicking UNSUBSCRIBE.
Form Total
£ 0.00
CAPTCHA

You are making an appeal donation

Make your donation work harder

Donate by Cheque

Existing Giftholders

Direct Debits