Pay in your fundraising

Thank you so much for raising money for Action Cancer. Your hard work, and the money you have raised, will help us Save Lives and Support People living with cancer in Northern Ireland.

Fundrasing Amount: *

Please let us know how you raised your money?

Is this donation on behalf of a group or association?

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Email *

Phone *

We really appreciate every donation which will help us save lives and support people affected by cancer in Northern Ireland.
We may contact you again to tell you more about our services and other ways you can help, including opportunities to donate, volunteer or fundraise.

I would like to be contacted by email: *

I would like to be contacted by post: *

I would like to be contacted by phone *

We promise to keep your details safe. Our privacy policy explains how we keep this promise. If you don't want to hear from us, or change your mind about how we contact you, email [email protected] or call 028 9080 3344.

Reclaim Gift Aid
Gift Aid It! Boost your donation by 25% at no cost to you. A Gift Aid declaration allows Action Cancer to claim tax back on eligible donations. It means that for every £1 you donate to Action Cancer we can claim back 25p, at no extra cost to you.

Yes, I would like to claim Gift Aid

By ticking the "Yes" box, I agree for Action Cancer to Gift Aid my donation and any donations I make in the future or have made in the past 4 years. 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 of my donations in that tax year, it is my responsibility to pay any difference. I understand that Action Cancer will reclaim 25p of tax on every £1 that I donate.

Payment Details *

Total

£0.00

Welcome back,