Gift Information

Donation Amount*
  • £3
  • £5
  • £10
  • £25
  • £50
  • Other £

Would you like your donation to be restricted to a specific service within Sussex Partnership?

If so please let us know which one:

Contact Information

State / Province*
Confirm Email*
Please tick here if you would like us to keep in touch. As well as sending you a thank you for your donation, we’ll keep you updated with Heads On news, including information about future fundraising events, appeals and the projects that we support.
  • Yes, please keep in touch by phone
  • Yes, please keep in touch by email
  • Yes, please keep in touch by post

Payment Information

Yes, reclaim Gift Aid on all my donations so that each £1 is worth an extra 25p to Heads On. 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.
Name on Card*
Card Number*
Additional Comments

Security Code