Donate - Urostomy Association

Donation Amount
- £5
- £10
- £30
- £50
- Other
Other Amount (£)
Fields marked with * are required
Name*
Title First Last
Address*
Street Address City County Postcode Country
Telephone*
Email*
Enter Email Confirm Email
Additional Notes
You are donating
£ 0.00
Gift Aid declaration
If you are a UK taxpayer the value of your gift can increase by 25% at no extra cost to you through gift aid.
Your donation of £100.00 can become £125.00
- I am a UK taxpayer and my gift qualifies for Gift Aid. Please gift aid all qualifying donations. I confirm I have paid or will pay an amount of Income Tax and/or Capital Gains Tax for each tax year (6 April to 5 April) that is at least equal to the amount of tax that all the charities or Community Amateur Sports Clubs (CASCs) that I donate to will reclaim on my gifts for that tax year. I understand that other taxes such as VAT and Council Tax do not qualify. I understand the charity will reclaim 25p of tax on every £1 that I give on or after 6 April 2008.
Payment Method*
- Credit/Debit Card
- PayPal
Here at the Urostomy Association we take your privacy seriously and will only use your personal information to support you and to provide the products and services you have requested from us. Your personal details will NOT be passed to any third-party.
Phone
This field is for validation purposes and should be left unchanged.

Donation Amount
- £5
- £10
- £30
- £50
- Other
Other Amount (£)
Fields marked with * are required
Name*
Title First Last
Address*
Street Address City County Postcode Country
Telephone*
Email*
Enter Email Confirm Email
Additional Notes
You are donating
£ 0.00
Gift Aid declaration
If you are a UK taxpayer the value of your gift can increase by 25% at no extra cost to you through gift aid.
Your donation of £100.00 can become £125.00
- I am a UK taxpayer and my gift qualifies for Gift Aid. Please gift aid all qualifying donations. I confirm I have paid or will pay an amount of Income Tax and/or Capital Gains Tax for each tax year (6 April to 5 April) that is at least equal to the amount of tax that all the charities or Community Amateur Sports Clubs (CASCs) that I donate to will reclaim on my gifts for that tax year. I understand that other taxes such as VAT and Council Tax do not qualify. I understand the charity will reclaim 25p of tax on every £1 that I give on or after 6 April 2008.
Payment Method*
- Credit/Debit Card
- PayPal
Here at the Urostomy Association we take your privacy seriously and will only use your personal information to support you and to provide the products and services you have requested from us. Your personal details will NOT be passed to any third-party.
Name
This field is for validation purposes and should be left unchanged.

By Post
Cheques payable to “Urostomy Association”, include covering note to specify which fund you would like to donate to, and send to:

2 Tyne Place,
Mickleton,
Chipping Campden,
GL55 6UG