Thank you for choosing to make a donation to The Childrens Air Ambulance.

This vitally needed service provides life saving flights for any child between the ages of Newborn and 16 years and is funded entirely through donations such as yours.

The service costs £1.5 million per year to operate and therefore your donation is crucial in keeping the helicopter in the air.

You can choose to make a regular donation by Standing Order (SECTION 1), or make a one-off payment (SECTION 2).

Please complete the following form, click the "Print this page" button, and post it to:

The Children's Air Ambulance
20 Western Road
St Marychurch
Torquay
Devon
TQ1 4RL

Telephone enquiries: 01803 313778 or 07500 898011

YOUR DETAILS: This section must be completed by all those wishing to donate by post
Title
Name
Address
Postcode
Home telephone number
Mobile telephone number
Email address
Signature
 Once you have completed this form, please print it and sign this box before posting it.
I am a tax payer and wish the charity to claim Gift Aid on my donation (tick if yes)
SECTION 1: I wish to make a regular donation to The Children's Air Ambulance by Standing Order (leave this section blank and complete SECTION 2 if you wish to make a one-off donation) 
I would like to make regular donations of the sum of £ (figures)
Please enter the amount in words here (words)
Date of first payment DD/MM/YYYY
and thereafter every week / month / year until further notice
I agree the above figure to credit the account of The Children's Air Ambulance, Registered Charity number 1111780
Account holder's name
Sort Code
Account Number
Bank name and address
Bank postcode DD/MM/YYYY
Date
  
SECTION 2: I wish to make one-off donation to The Children's Air Ambulance (leave this section blank and complete SECTION 1 if you wish to make regular donations by Standing Order)
I would like to make a one-off donation of £ (figures)
Please enter the amount in words here (words)
I wish to pay by cheque (enclosed) (tick if yes)
I wish to pay by credit card (tick if yes)
Name of card holder
Credit card number
Issue number (if any)
Expiry date MM/YYYY

I am happy to receive information from The Children's Air Ambulance (tick if yes)

Bank use only: Reference