Your support will help children across the region Your donation will help fund and support emergency children’s ambulances at Addenbrooke’s Please fill in the form below to make a donation. Thank you. Your details Title* First Name* Last Name* Address Search Address Line 1* Address Line 2 City* County Postcode* Country United Kingdom Finland Andorra New Zealand Sweden Myanmar Indonesia Japan Denmark Cyprus South Africa Norway Ireland Algeria Australia Austria Belgium Bermuda Botswana Brazil Canada China Fiji Greece Iran, Islamic Republic Of Jersey Luxembourg Monaco Netherlands United Arab Emirates India Switzerland United States Northern Ireland Holland Germany France Italy Spain Phone Email* Payment details I would like to make this gift a one-off payment. Amount* £ Card Number* Expires* Security Code / CVC * Comments Gift Aid Yes I would like you to claim Gift Aid on my donation I want all donations I’ve made to you in the past four years and all donations in future to be treated as Gift Aid donations until I notify you otherwise. I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year it is my responsibility to pay any difference. We will claim 25p on every £1 you donate. Keeping in touch I would like to hear more about ACT and how my donations are making an impact. Yes No Please keep me updated by the methods I choose below: Email SMS/Text Phone Post There is a problem with your donation Processing your donation – please wait …