Safe Haven Registration

 

Please select the animal accommodation you would like to sponsor at our Chesterfield Animal Centre.

Donation Amount*
  • Dog Kennel £8.00
  • Cat Pen £6.00
  • Rabbit Pen £3.00
  • Small Furry Pen £2.00
  • Other £
If you are sponsoring in memory or in honour of a pet or loved one, please write their name and a short message.
If you are making a gift of your sponsorship, please tell us the name and full postal address of the recipient. We'd also love to know the occasion.
Please tick the box below if you would like to be kept informed by email about Animal Centre news and upcoming events?
  • Yes, keep me posted!

Your Personal Data

 

Unless you have consented to receive marketing communications from us, the contact details you have provided will only be used to adminster your Safe Haven sponsorship, including processing gift aid where applicable, and to provide you with further information in relation to your Safe Haven sponsorship. We're committed to respecting your privacy and keeping your personal information safe. Information about how we use your personal data is set out in our privacy notice.

Contact Information

Country*
State / Province*
Address*
City*
*
*
*
*
*
*
Email*
Confirm Email*
Phone*

Payment Information

Yes, reclaim Gift Aid on all my donations so that each £1 is worth an extra 25p to RSPCA Chesterfield and North Derbyshire Branch. This declaration is valid for the current tax year (6 April to 5 April), the previous four tax years and all future years. I confirm I have paid or will pay an amount of Income Tax and/or Capital Gains Tax for the year of a donation that is at least equal to the amount of tax that all the charities and Community Amateur Sports Clubs (CASCs) that I donate to will reclaim on my gifts for the current tax year. I understand that other taxes such as VAT and Council Tax do not qualify.
Amount*
£
Name on Card*
Card Number*
Additional Comments

Security Code