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2. Your details

Title*

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First name*

Please enter your first name

Surname*

Please enter your last name

Email*

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Phone

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Country*

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Postcode* Find address

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or enter address manually >

Address line 1*

Please enter your address line 1

Address line 2

Address line 3

City*

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County

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3. About your donation

What prompted you to donate?*

Please select a reason for your donation

Increase your donation to at no extra cost to you

Yes

Please select your Giftaid preference

I want to Gift Aid my donation and any donations to Erskine that I make in future or have made in the past four years. In order to Gift Aid your donation you must select the 'Yes' option above. I am a UK taxpayer and understand that if I pay less income tax and/or 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. I understand the charity will reclaim 25p on tax on every £1 I have given.

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4. Stay updated

We’d love to keep in touch with you to tell you about the exciting and vital work we have planned to support veterans at Erskine, and how your donation is helping us achieve that.

Your details will always be kept securely and we will never share, swap or sell any of your information

We can keep you up to date by post and telephone

Please tick if you do not wish to be contacted by post
Please tick if you do not wish to be contacted by phone

We would also like to update you occasionally by email and SMS

Please tick here if you are happy to receive emails
Please tick here if you are happy to receive SMS

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5. Bank Details

Name of account holder*

Account number*

Sort code*

Frequency of donation*

Day of debit*

706377 Service User Number

Instruction to your bank or building society. Please pay Erskine Hospital Direct Debits from the account detailed in this instruction subject to the safeguards assured by the Direct Debit Guarantee. I understand that this Instruction may remain with Erskine Hospital, and, if so, details will be passed electronically to my bank/building society.

The Direct Debit Guarantee:

This guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits.
If there are any changes to the amount, date or frequency of your Direct Debit, Erskine Hospital will notify you 10 working days in advance of your account being debited or as otherwise agreed. If you requested Erskine Hospital to collect a payment, confirmation of the amount and date will be given to you at the time of the request.
If an error is made in the payment of your Direct Debit, by Erskine Hospital or your bank or building society, you are entitled to a full and immediate refund of the amount paid from your bank or building society
- If you receive a refund you are not entitled to, you must pay it back when Erskine Hospital asks you to.
You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be required. Please also notify us.

I confirm that I am the account holder (therefore the payer), and the only person required to authorise direct debits from this account

Please tick the above box to confirm you are the account holder

Donate Single Page

Make a donation today

1. Your donation

2. Your Details

3. About your donation

4. Stay updated

5. Payment Details

2. Your details

3. About your donation

4. Stay updated

5. Bank Details

6. Confirm Direct Debit Instruction

Other ways to donate

By phone

By post or text

By post

Donate by text

Direct debit