Written in the Sky Form - Great North Air Ambulance Service

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Is admin user

Yes

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Donor Number

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Admin Export Comments

Help us stay in the sky by donating today.

Monthly Donation?(Required)

Give Monthly

Give Once

Radio Amount

Other Amount

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Donation Amount

Name

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.)

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Gift Aid Declaration Type

Postcode

Billing Address(Required)

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Agreement Reference Number

Payment Date(Required)

1st of month

15th of month

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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)

Are you donating as an Individual or Group(Required)

Individual

Group

Are you a business or organisation? We’d love to have you on board! To ensure we provide the correct support for your group or business, please get in touch.

Enter the name to appear on the helicopter(Required)

Maximum 30 characters. Please double-check spelling – this is exactly how it will be printed!

Who is this name for?(Required)

This helps us understand the story behind your support

It’s my name

In memory of someone special

A gift for a friend or family member

Would you like to tell us more about why you are adding this name today?

e.g. In memory of a loved one, a thank you to the crew, or a gift for a supporter.

Which helicopter would you like to add the name to?(Required)

Guardian of the North

Pride of Cumbria

No Preference

Add an additional name

Product Name

Price: £ 150.00

Hold a piece of the mission in your hand. Mark your contribution with the official GNAAS Commemorative Coin.

Yes, I would like to receive a Commemorative Coin (+£10 each)

Product Name (Required)

Price: £ 10.00

Add an additional donation

Please enter your additional donation amount

About you

Name(Required)

Title First Name Last Name

Email(Required)

Phone(Required)

Postcode(Required)

Address(Required)

Street Address Address Line 2 City Country

Are you a former patient of the charity or know someone who is?(Required)

Yes

Please tell us about your connection with GNAAS(Required)

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Is admin user

Yes

Staff Marketing Consent Script
We’d love to keep you up-to-date with our life-saving missions and how you can help us rescue more people through fundraising, events and volunteering. Would you prefer this by email, SMS or both?

We may also occasionally contact you by post or phone. You can tell me now or at any point in the future if you’d prefer us not to do this. [For background – it is unlikely that we would contact them more than four times a year by phone/post]

How would you like to hear from us?

We’d love to keep you up-to-date with our lifesaving missions and how you can help us rescue more people through fundraising, events and volunteering. Please let us know how you’d like to hear from us.

SMS

We also communicate with supporters by post or telephone to tell you more about our critical care service and the exciting ways you can support us. You can read more about this in our Privacy Policy or you can click here to not receive communications this way.

Opt-Out of communications by

Post

Telephone

Total to pay

Payment method(Required)

Card / Apple Pay / Google Pay

PayPal

Payment Method

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Credit Card(Required)

Help us stay in the sky by donating today.

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

Have your name Written in the Sky

Written In the Sky

Add an additional donation

About you