Thank you so much for deciding to make regular gifts to Sight Support Derbyshire. Your donations will enable us to: 


  • Encourage visually impaired children to maximise their potential through activities such as climbing and ice skating

  • Reach out to isolated, elderly people with sight loss by providing social and activity groups in their area

  • Offer emotional support and practical advice to people receiving the devastating diagnosis of sight loss


All of this is only possible thanks to your generosity.



Please select the amount you wish to donate.

Donation Amount*
  • £20
  • £10
  • £5
  • Other £

If you have selected 'other' please enter the amount you wish to donate in the white box before completing the rest of this form.

Contact Information

Confirm Email*

Keeping in touch

We would love to keep you up to date with information about the difference your donation is making and about our fundraising events/activities. Our newsletter features information about upcoming events from sponsored tandem cycling events to choir concerts, as well as stories of how the money raised is making a real difference to people's lives.

Please let us know how you would like us to contact you

By email*
  • Yes please
  • No thank you
By post*
  • Yes please
  • No thank you
By phone*
  • Yes please
  • No thank you

Your details will be kept securely and will not be shared with anyone else. Donation records will be kept securely for 7 years for auditing purposes. You may change your contact preferences or ask for your details to be removed from our mailing list at any time by calling 01332 292262 or emailing

Payment and Gift Aid

Yes, reclaim Gift Aid on all my donations so that each £1 is worth an extra 25p to Sight Support Derbyshire. 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 if I pay less income tax in the current tax year than the amount of Gift Aid claimed on all of my donations it is my responsibility to pay any difference. 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 or have given in the last four tax years.
Additional Comments


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