A member of the Golden Jubilee Foundation family

GoldenJubileeNationalHospital (Scotland)

Charity Number: SC045146

Thank you for your donation. Every donation, small or large, makes a huge difference to our patients. From better facilities and patient comforts through to equipment and training, donations help us provide the best care for patients in the services we provide.

Donation form

Donor details
Title
Forename
Surname
Full Home Address
Post Code
Email Address
Telephone Number
Donation details
I would like to donate a gift of
(please specify amount) / £
From better facilities and patient comforts through to equipment and training, donations help us provide the best care for patients in the services we provide.
Gift Aid
I can confirm that I have paid, or will pay, an amount of Income of Capital Gains Tax for each tax year that is at least equal to the amount of tax that the all of the charities that I donate to will reclaim on my gifts for that tax year. I understand that other taxes do not qualify.

Signature
Date
Please notify us if you want to cancel this declaration, change your name or home address or no longer pay sufficient tax on your income and/or capital gains. If you pay Income Tax at the higher or additional rate ad 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.
Other information
Please return your completed form with a cheque
- made out to ‘GoldenJubileeNationalHospital (Scotland) - to:
Golden Jubilee Foundation, Communications Department, GoldenJubileeNationalHospital, Agamemnon Street, DalmuirG81 4HX
If you require any further information on how to make a donation, please contact our Communications Department on 0141 951 5195/5175/5648. / From time to time, we may wish to contact you with news of how your donation has been used or to inform you of forthcoming fundraising events. Please tick this box if you do not wish to be contacted.