Support patient care at your Hospital Help support patient care at the Hospital where the need is greatest. 1. Your donation Please select a donation amount: * £10 Help us provide the little extras that can mean so much £25 Help us enhance the Hospital environment for our patients £50 Help us buy the latest medical equipment to enhance patient care You need to have the donation amount set to at least £1.00 for monthly donations You need to have the donation amount set to at least £0.50 for one off donations Amount entered is not a valid number. Please ensure your donation does not include any characters. Other Set up a regular payment How often would you like to donate? Monthly Quarterly Yearly Preferred collection day 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th 13th 14th 15th 16th 17th 18th 19th 20th 21st 22nd 23rd 24th 25th 26th 27th 28th If you are a UK taxpayer your donation could be worth £12.50 at no extra cost to you. 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Free of charge Please authorize using the button below Card number * Don't forget your card number Your card number must be valid Expiry date (MM/YY) * Don't forget your expiry date Your expiry date is incorrect 01 02 03 04 05 06 07 08 09 10 11 12 / 19 20 21 22 23 24 25 26 27 28 29 30 Security code * Don't forget your security code Your security code must only include digits and there must be 3 or 4 of them Country where the card is registered Afghanistan Aland Islands Albania Algeria American Samoa Andorra Anguilla Anla Antarctica Antigua Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzevina Botswana Bouvet Island Brazil British Indian Ocean Territory British Virgin isl. Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Rep. 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Uganda Ukraine United Arab Emirates United Kingdom United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Vietnam Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Please enter your postcode* Don't forget your postcode and address Your postcode is invalid Look up address or Enter address Street Please select Don't forget the first line of your address Address line 1 Address line 2 Don't forget your town or city Town or city About you Why are you donating? Please select I received a letter I am a patient A family members received care I saw a news story in the media My club/group/work choose to support you I read an article I saw you on Facebook I follow you on Twitter I spoke to a fundraiser Other Display your name with your donation on our site. Register using PayPal Account First name * Don't forget your first name Last name * Don't forget your last name Display your name with your donation on our site. Email * Don't forget your email address Your email address has an invalid format Which country do you live in? Afghanistan Aland Islands Albania Algeria American Samoa Andorra Anguilla Anla Antarctica Antigua Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzevina Botswana Bouvet Island Brazil British Indian Ocean Territory British Virgin isl. Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Rep. Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Con Con, the Democratic Republic of the Cook Islands Costa Rica Croatia Cuba Curacao !Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea 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 Haiti Heard Island and McDonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Ivory Coast Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic Peoples Republic of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Monlia Montenegro Montserrat Morocco Mozambique Myanmar/Burma Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion !Réunion Romania Russian Federation Rwanda Saint Barthelemy !Saint Barthélemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovak Republic Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan, Province of China Tajikistan Tanzania Thailand Timor-Leste To Tokelau Tonga Trinidad-Toba Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu U.S. Virgin Islands U.S.A. Uganda Ukraine United Arab Emirates United Kingdom United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Vietnam Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Please enter your postcode* Don't forget your postcode and address Your postcode is invalid Look up address or Enter address Street Please select Don't forget the first line of your address Address line 1 Address line 2 Don't forget your town or city Town or city Keeping In Touch We have a number of activities throughout the year that we would like to keep you abreast of. Please let us know what you would like to hear about. Stride4Life - Our annual sponsored walk and Fun Day Ride4Life - our sponsored multi - day cycle ride Christmas and Summer Draw - top price £500! Charity news and appeals All of the above We'd love to keep you posted with our news, activities and how you can help in other ways. We'll never sell or swap your details with anybody else. You are free to change your mind at anytime. 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Our website uses cookies; by using our website or agreeing to these terms and conditions, you consent to our use of cookies in accordance with the terms of our Privacy Statement. The information provided on this website is for general and educational purposes only. Valley Hospital Charity accepts no responsibility or liability for the completeness, accuracy or reliability of any information contained on or downloaded from the website. We reserve the right to discontinue or alter any or all of our website services, and to stop publishing our website, at any time in our sole discretion without notice or explanation. Variation We may revise these terms and conditions at any point and without notice. The revised terms and conditions shall apply to the use of our website from the date of publication on the website. Copyright Valley Hospital Charity hold the copyright to this website and materials. 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