Great North Bungee Completion - Great North Air Ambulance Service

This field is hidden when viewing the form

Is admin user

Yes

This field is hidden when viewing the form

Donor Number

This field is hidden when viewing the form

Admin Export Comments

Help us stay in the sky by donating today.

Monthly Donation?(Required)

Give Monthly

Give Once

Radio Amount

Other Amount

This field is hidden when viewing the form

Donation Amount

Name

Email

Phone

This donation is from(Required)

An individual/family

A Business

A group

A School

A grant funder

Organisation name(Required)

Gift Aid

Help us save more lives, at no extra cost to you.

Every donation you make could be worth 25% more, just by choosing to Gift Aid it.

Your donation of can be boosted with Gift Aid by a further , which means GNAAS will receive .

Last year we raised an additional £231,986.63
through Gift Aid.

Boost your donation today

Yes, I would like to boost this donation with Gift Aid, if applicable. I would also like to Gift Aid donations that I make in the future, and have made in the current or previous four tax years, 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. I understand that the Great North Air Ambulance Service will reclaim 25p of tax on every £1 that I give. Please notify us if you want to change this declaration, change your name or home address, or no longer pay sufficient tax on your income/capital gains.

(If you have previously completed a Gift Aid declaration, we will continue to claim Gift Aid on your donations until notified otherwise.)

This field is hidden when viewing the form

Gift Aid Declaration Type

Postcode

Billing Address(Required)

This field is hidden when viewing the form

Agreement Reference Number

Payment Date(Required)

1st of month

15th of month

This field is hidden when viewing the form

First Payment Date

Account Name(Required)

Sort Code(Required)

Account Number(Required)

Bank(Required)

Branch(Required)

Donation

Payment Method

Paypal

Card / GPay / Apple Pay

PayPal

Card Details(Required)

Help us stay in the sky by donating today.

Help us save more lives, at no extra cost to you.

Thank you for signing up for Great North Bungee. Your place is confirmed!