Online donation

Thank you! You can make a donation online using your credit or debit card. Processing of your donation is carried out by WorldPay Ltd. and upon submitting this form you will be transferred to WorldPay's secure server.

Simply fill out the form below, bearing in mind that items marked * are required for successful submission

Boxes with an asterisk * next to them are required items

Title *
First name *
Surname *
Cardholder address *


Town *
County
Postcode *
Country *
Telephone
Email address *
Donation amount (£) *
Message
Gift aid declaration	Gift aid declaration (please tick)
	I would like Nightingale to treat all donations I have made for the four years prior to this year, and all donations I make from today’s date until I notify you to the contrary. I will let you know if these circumstances alter and will advise you of any change of address.( I pay sufficient UK income/capital tax equal to the amount that will be reclaimed by Nightingale on my donations - currently 25p for every £1 that I give)

105 Nightingale Lane London SW12 8NB Tel: 020 8673 3495

Nightingale Hammerson – Registered Charity 207316