Make a single donation to Jo's Cervical Cancer Trust Amount * Are you donating on behalf of a company, trust or group of people? Yes No First name * Last name * Email * Confirm email * Street address (inc. door number/house name) * Postcode * Telephone What is your donation towards? - None -General donationIn memoryAn eventAn event registration Who is your donation in memory of? Which event? Event registering for - None -Brighton MarathonGreat North Run,Great South RunLondon MarathonPrudential RideRoyal Parks Half MarathonVitality Big Half Please do tell us any further information or comments about your donation Gift AidIf you are a UK tax payer, you can boost your donation by 25p for every £1 you donate. Please tick the box below. Gift Aid I confirm/reconfirm I am a UK taxpayer. Please treat all donations I make or have made to Jo's Cervical Cancer Trust for the last 4 years as Gift Aid until further notice. I understand that if I pay less Income Tax and / or Capital Gains Tax than the amount of Gift Aid donations claimed on all my donations in that tax year it is my responsibility to pay any difference. Please let us know if you wish to cancel this declaration, change your address or stop paying tax. Payment details Issuer - None -VisaMasterCardAmerican ExpressJCBDiscoverDiners Club Credit card number Secure code Expiry date Month 010203040506070809101112 Year 201920202021202220232024202520262027 We want to see cervical cancer become a disease of the past. With your help, we can make this a reality. We’d love to stay in touch with you to tell you about our latest campaigns, research and the ways that you can support our vital work. We’ll keep your details safe and we promise to never swop or sell them. If you change your mind and want to stop hearing from us or want to change the way you hear from us, please contact us on 020 3096 8100 or [email protected]. Please see our Privacy Policy for more information. I am happy for you to contact me by: Email Phone Post Text/SMS I would like to hear about: News and campaigns Volunteering Fundraising Information for health care professionals Donate
