Direct Debit Sign Up

Personal details

*Donation type:

*Donation reason:

*Their name?

Relationship to you?

Details

*Title

*First name

*Surname

Home phone number

Mobile number

*Email address

*Confirm email

Address

Enter postcode (and optionally house number in Address line 1) then click 'Find address'

*Postcode

*Address line 1

*Town

County

I would like this gift to remain anonymous

I'm making this gift on behalf of an organisation

*Organisation name

Please tell us your connection to Shooting Star Children’s Hospices

Please Specify:

Keeping in touch

We would love to keep you updated on our news, fundraising appeals, events and opportunities to support our work. We will always treat your details with the utmost care, and we will never sell them to other companies for marketing purposes. With your support we can continue to make every moment count for babies, children and young people with life-limiting conditions, and their families, so please choose to stay in touch.

By providing us with personal data you consent to the terms and conditions of our privacy statement which can be found at www.shootingstar.org.uk/our-privacy-statement. You can update your preferences or unsubscribe at any time by visiting shootingstar.org.uk/consent or getting in touch on 0208 783 2000 or supportercare@shootingstar.org.uk.

Yes, I'd like to receive updates by email.

Yes, I'm happy to be contacted by SMS.

Yes, I'm happy to be contacted by phone.

Please do NOT contact me with updates through the post.

Payment details

Bank details