The Roy Castle Lung Cancer Foundation

Secure Donation Form - The Elizabeth Montgomerie Centre

Your donation will be processed by WorldPay plc, who specialise in the secure online capture and processing of online transactions. The credit card form is secure and all processing of your donation is automatic.

I want to make a donation towards the proposed lung cancer patients’ centre, to be called The Elizabeth Montgomerie Centre. Please debit my account...

£
Reason for giving:
	I am a UK taxpayer and I would like the Roy Castle Lung Cancer Foundation to treat all donations I have made since the 6^th April 2000 and all donations I make thereafter, as Gift Aid donations. I understand that I must have paid an amount of income tax or capital gains tax equal to the tax you reclaim on my donations.
	The Roy Castle Lung Cancer Foundation will use your information for administration and analysis. We may share your information with other companies or carefully selected third parties. Such parties may contact you or send you details relating to other goods and services which might be of interest to you. If you do not wish to be shared with carefully selected third parties, please tick this box.

	If, after clicking the Donate button, you feel that you do not want to make a donation, you can press Cancel on the Secure Payment Page. Your donation will not be processed. A refunds policy can be seen on the WorldPay site once you make your donation. If you have any questions about making a donation please contact Jenny Lloyd on 0871 220 5425 Postal donations can be sent to: The Roy Castle Lung Cancer Foundation 200 London Road, Liverpool, L3 9TA, United Kingdom A big Thank You!