The Friends of Weardale Community Hospital Donations The Friends of Weardale Community Hospital, being a registered Charity, operate a Gift Aid Scheme under the provision of the Inland Revenue which increases the value of donations made by 25% at no extra cost to the Donor. To benefit from the Scheme a short form needs to be signed by the Donor. Hard copy forms may be obtained from the hospital or you can donate via the form below: Donation Information I would like to make a donation in the amount of: £100£50£10£5Other I would like this donation to repeat each month Donor Information First Name: Last Name: Email: Add me to your mailing list Donor Address Address: Address 2: City: Country: Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia-Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Comoros Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Democratic Republic of Congo Congo Cook Islands Costa Rica Croatia Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Eriteria Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea Bissau Guyana Heard Island / McDonald Islands Holy See (Vatican) Honduras Hong Kong Hungary Iceland India Indonesia Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Republic of Kuwait Kyrgyzstan Laos Latvia Lesotho Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Namibia Nauru Nepal Netherlands Netherlands Antilles New Calendonia New Zealand Nicaragua Niger Niue Norfolk Island Northern Mariana Islands Norway Oman Palau Palestine Panama Paraguay Papua New Guinea Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Republic of Serbia Russian Federation Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent / Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia / South Sandwich Spain Sri Lanka Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Taiwan Tajikistan Tanzania, United Republic of Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States US Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Post Code: I am a UK taxpayer and my gift qualifies for Gift Aid. Please note: You must pay an amount of Income Tax and/or Capital Gains Tax for each year (6th April one year to 5th April the next) that is at least equal to the amount of tax that The Friends of Weardale Community Hospital will reclaim on your gifts for that year. If you pay income tax at the higher rate, you must include all your Gift Aid donations on your Self Assessment Tax Return if you want to clam the additional tax relief due to your donation. Please notify the charity if you: Want to cancel this declaration Change your name or home address No longer pay sufficient tax on your income and/or capital gains tax. Thank you for your generosity Friends of WCH Subscribe to our Newsletter Email The Friends of Weardale Community Hospital, Weardale Community Hospital, Stanhope, County Durham, DL13 2JR. Telephone : 01388 528 233 Fax : 01388 528 213 Registered Charity Number : 11 33 650 · © 2021 The Friends of Weardale Community Hospital · Powered by · Designed with the Customizr Theme ·