Donation form
Please print this form out to complete and return to: Music in Hospitals, Case House, 85-89 High Street, Walton on Thames, Surrey KT12 1DZ
- I enclose a donation of £

- Please send me information on becoming a Friend of Music in Hospitals
- I would like to contribute by standing order payments. Please send me a form.
Gifts from UK tax payers qualify for Gift Aid. By signing the following declaration you are allowing Music in Hospitals to reclaim the tax on you donation.
I confirm that I am a UK taxpayer and the tax I pay will be at least equal to the tax that the charity will reclaim on this gift. Please treat all donations I make to Music in Hospitals as Gift Aid donations until further notice.
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Registered Charity No. 1051659