We now just need to take a few more details about your donation Please tell us how much you'd like to donate. £ If you are donating for a specific reason, please let us know A donation in memory of someone Light Up a Life dedication Funding Crisis Appeal Sponsorship raised from an event or challenge Sadaqah - Lillah Donation Hosted your own fundraising event On behalf of an organisation Other… Enter other… Please tell us the name of the person it's in memory of and, if you're comfortable doing so, their relationship to you Please upload a photo of your sponsorship form here By sending us a photo of your sponsorship form, you will be enabling us to claim gift aid. Every sponsorship donation that has been gift aided is worth an extra 25% to Bolton Hospice at no cost to your sponsors. Upload requirementsOne file only.512 MB limit.Allowed types: gif, jpg, jpeg, png. Upload Please tell us the name of the organisation Please list the items and quantities you would like to order Event or challenge name Please tell us of the name of the fundraising event Your Participant Number (if applicable) Please tell us who you are We'll be able to contact you more personally if you tell us your name. Title First name Last name Please tell us your address Address Address 2 City/Town Postcode Country Please share some contact details with us This way, we can get in touch if there are any questions or problems with your donation. Email address Telephone number Are you able to add Gift Aid to your donation? Gift Aid Gift Aid is a scheme available to charities. It means they can claim extra money from HMRC; an extra 25p for every £1 you donate. If you would like to Gift Aid your donation, please read the statement below, and check the box to agree to Gift Aid. I am a UK taxpayer and I understand that if I pay less Income and/or Capital Gains Tax in the current tax year than the amount of Gift Aid claimed on all my donations it is my responsibility to pay any difference. Tick here if you would like Bolton Hospice to reclaim the tax you have paid on all your donations made in the last four years, and any future donations you may make. Please notify Bolton Hospice if you: Want to cancel this declaration Change your name or home address No longer pay sufficient tax on your income and/or capital gains Keep in touch Mailing list preferences We’d like to contact you with information about upcoming fundraising activities and how your support is helping. Please tell us if you are happy for us to do this (tick relevant boxes): Email Phone SMS (text message) Mailing list preferences - postal We might also send this information in the post – if you don’t want to receive this please tick here: Please do not contact me by post Mail list detail You can change your contact preferences at any time by calling us on 01204 663 066 or emailing fundraising@boltonhospice.org The personal information you have provided to Bolton Hospice will be processed in accordance with current UK data protection legislation and our privacy policy which is available to view at www.boltonhospice.org.uk/privacy-policy or upon request. The main purpose for which we process your personal information is to administer your donation but for further information please see our privacy policy. Your information will be held securely and we will never sell it to anyone else. Submit