Home Support us Hospice UK Ambassadors Become a Hospice UK Ambassador Become a Hospice UK Ambassador Sign up as an Ambassador and play a pivotal role in transforming the way society cares for dying people and the people that care for them. Complete the form below encrypted SourceCode DestinationCode Donation * prev next ( X ) £125 Monthly ( £ 125.00 GBP for each month ) £1500 Yearly ( £ 1,500.00 GBP for each year ) Card Details First Name Last Name Card Number Security Code Card Expiration GiftAidCalc To Gift Aid your donation, please confirm the statement below: I confirm I am a UK income or Capital Gains taxpayer. I understand if I pay less Income Tax / or Capital Gains tax in the current tax year than the amount of Gift Aid claimed on all of my donations it is my responsibility to pay any difference. 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. Hospice UK will treat as Gift Aid donations all qualifying gifts of money made to Hospice UK, today, in the past 4 years and in the future. Please contact Hospice UK if you do not want this to apply to your future or past donations. Please notify Hospice UK if you: want to cancel this declaration / change your name or home address / no longer pay sufficient income or capital gains tax. I have read the above statement and Yes, I would like to create a Gift Aid Declaration No, I am unable to create a Gift Aid Declaration Your details Title Miss Mrs Mr Ms Name * First Name Last Name Email * Please double-check your email address Telephone Address City / Town Post code We would like to keep in touch with you about Hospice UK activity including current campaigns, events and other ways you can get involved. We will only contact you in the ways you want us to and will keep your data safe as per our privacy policy. Please tell us how you’d like to hear from us by ticking below. I am happy to be contacted by: Email Mail Telephone SMS If you would like to provide us with any further information about your gift, please include it below: 0/2000 Donate Should be Empty: Thank you for your invaluable support!