I wish to donate:

Donation Amount*
  • £16.50 per month can provide free transport for a child with cancer during one year of treatment.
  • £33 per month can provide free transport for two children with cancer during one year of treatment.
  • £8.25 per month can provide free transport for a child with cancer during six month of treatment.
  • Other £

Contact Information

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

Yes, I want to Gift Aid my donation and any future donations I make to Please Take Me There. I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax in the current year than the amount of Gift Aid claimed on all my donations it is my responsibility to pay the difference.
Amount*
£
Name on Card*
Card Number*