Team Rajaona

Select amount to donate

£12

£25

£50

£100

Donate

All payments are secure & encrypted

Personal Donation Company Donation

First Name*

Last Name*

Email Address*

Mobile

Postal Address * (enter manually)

Address Line 1 *

Address Line 2

Town/City *

Postcode *

County

Country *

Yes No

Leave a Message (Optional)

Name to appear on page (Optional)

I'd like to remain anonymous to the fundraiser

All payments are secure & encrypted

Credit Card

Cover optional platform costs

Total amount

Yes, make my donation a Gift Aid donation.
I confirm I am a UK taxpayer and would like Great Ormond Street Hospital Children’s Charity to reclaim tax on this donation, any future gifts I make, and any donations I have made in the past four years. I understand that if I pay less Income or Capital Gains Tax than the amount claimed on all my donations in that tax year (April 6 – April 5) it is my responsibility to pay any difference. Please note that Gift Aid cannot be claimed by one individual on monies collected from multiple donors e.g., birthday collections.