Pay in Funds Raised

Your details

First name(Required)

Last name(Required)

Address (inc Postcode)(Required)

Email

Contact Number

Donation pledged

In memory of/in respect of care given to (insert name of who in memory of):

General donation to (please tell us which ward or department you wish to donate)

Please include a few words regarding your loved one who the donation is in memory of. If you would like we can include a picture which can be emailed to us at rwh-tr.fundraisingteam@nhs.net

I give permission for my donation to be included in the 'Book of Celebration'(Required)

Yes

No

Fundraising Donation

Donation is:

In aid of The Royal Wolverhampton NHS Trust Charity

In Partnership with The Royal Wolverhampton Trust Charity Team

Details of fundraising campaign event:

For the benefit of (State Ward / Campaign)(Required)

Amount donated:(Required)

£ _________________ Online donation

£ _________________ Cheque (payable to The Royal Wolverhampton NHS Trust Charity)

£ _________________ Total enclosed

If you wish to donate cash please visit the General Office, located at A11 (near Greggs), New Cross Hospital. Please let us know what date you plan to visit the office.(Required)

Signed by donor:(Required)

Do you wish to claim Gift Aid on your donation?(Required)

Yes

No

Did you know that if you are a UK taxpayer, you can hep support us even further by allowing us to apply Gift Aid to your donation. This allows us to claim from the government an additional 25p of tax on every £1 you give, at no additional cost to yourself!(Required)

Keeping in touch

The Royal Wolverhampton NHS Trust Charity is committed to protecting your data, and we will never sell our supporter’s data to third parties. By providing us with any personal information you consent to the terms and conditions of our Privacy Policy available at www.bch.org.uk.

If you want to change the way we keep you informed about our work, you can do so at any time by speaking to our team by phone 01902 694473 or by email rwh-tr.fundraisingteam@nhs.net

Please tick if you’re happy to hear from us by Email(Required)

Yes

No

Please tick if you’re happy to hear from us by SMS(Required)

Yes

No

Please tick if you’re happy to hear from us by Post(Required)

Yes

No

Please tick if you’re happy to hear from us by Phone(Required)

Yes

No

By submitting this form, you agree to the Registering your Fundraising Terms and Conditions which can be found on our Terms and Conditions page.

If easier, you can download our donation receipt form and post it to:

Charity Team
The Royal Wolverhampton NHS Trust
Wolverhampton Road
Wolverhampton
WV10 0QP

Download Receipt Form

Online via JustGiving

To make an online donation via the JustGiving website please click on the JustGiving link here. Once you are on our JustGiving page, click on the ‘Donate’ button in the top right-hand corner.

If you would like to open your own JustGiving fundraising page in aid of the Trust, visit our JustGiving page and click on the ‘Raise Money’ button in the top right-hand corner.

Online via easyfundraising

To make an online donation via the easyfundraising website please click on the easyfundraising link here.

Online via Stripe

You can also donate online via our Stripe account, please clicking here.

Direct into Bank Account

Please contact:

Zoe Lees on 01902 481590 with any Charity financial queries or to receive direct bank details.

The fundraising team to discuss your donation on 01902 694473.

Donating by Post or in Person

Using the Charitable Fund Donation Form, please print off a donation form and send in a completed and signed copy along with your donation. This is very important if you would like to Gift Aid your donation (this means that we can claim an extra 25p for every £1 you give. It won’t cost you any extra. More information about Gift Aid can be found in our FAQs section). A copy of the Charitable Fund Donation Form can also be obtained from General Office when paying over the counter.

By Post

Please make cheques payable to The Royal Wolverhampton Hospitals NHS Trust Charity. Please write on the back of the cheque which fund you would like to donate to e.g. General Purposes Trust Fund and send to:-

General Office
New Cross Hospital
Wolverhampton
WV10 0QP

In Person at the General Office at New Cross Hospital

Cash/Cheque/Debit or Credit Card.

General Office is off the main corridor near to Greggs .

Payroll Giving

You can support the Trust Charity on a regular basis from your salary. It’s really easy to set up and completely secure, please call us on (01902) 481590 for further information.

Involve Your Workmates

Why not display one of our collection boxes within your business so customers know that you are supporting The Royal Wolverhampton NHS Trust Charity as they may also want to contribute towards your fundraising.

Many companies select a Charity of the Year – why not speak to your employer and recommend The Royal Wolverhampton NHS Trust Charity as your chosen Charity and raise much needed funds whilst having a laugh with your work mates!