NOMINATION REQUEST - FORM B

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To nominate a siblings of a child who has passed away please complete this form:

 


 

 

 

 

Nature of Illness *
Date of Passing *
Please list all people who wish to stay at Donna's Dream house*
Name:
Age:
Relationship to Child:
Name:
Age:
Relationship to Child:
Name:
Age:
Relationship to Child:
Name:
Age:
Relationship to Child:
Name:
Age:
Relationship to Child:
Please give details of any special needs for visitors (eg, wheelchair access etc)
Please specify your preferred holiday dates *
(we are unable to guarantee availability)
Choice 1:

Choice 2:

Choice 3:

Full name *
Email Address *
Today's Date *
Electronic Signature *
Please put your initials in the box provided
   
We would like to keep your details on file, please un-tick the box if you do not want us to keep your details on file.

We will NOT share your personal information with any 3rd parties.












 


 


If you would like to donate via PayPal you can do by selecting one of the buttons below. PayPal is a totally secure method of making a donation.
Donate any amount Donate £1 Donate £5 Donate £10 Donate £25 Donate £50 Donate £100 Donate £250 Donate £500 Donate £1000

(These costs are approximate, but it gives you an idea of the pressure placed upon Donna's Dream House to keep going).

GIFT AID

Under the Gift Aid scheme, we are able to claim an extra 25% from the Government on every eligible donation made by a UK taxpayer. For example, on a £100 donation we can reclaim £25, making your donation worth £125 – at no cost to you or our charity.

How it works
When you donate to Donna’s Dream House, you will be asked to confirm whether or not you are a UK taxpayer. Gift Aid can only be reclaimed on donations made by individuals who pay UK income or capital gains tax at least equal to the amount reclaimed on their donations in the current tax year.


Download a Gidt Aid Form

Simply click the button above to download a Gift Aid Declaration Form. Then print it out, fill it in and post it to us. We'll do the rest.

Thank you!