Alissa Figueirado

Select amount to donate

£10

£20

£30

£50

Donate

All payments are secure & encrypted

Personal Donation Company Donation

Title

First Name*

Last Name*

Email Address*

Postal Address * (enter manually)

Address Line 1 *

Address Line 2

Town/City *

Postcode *

County

Country *

Be part of London’s Air Ambulance life-saving work

We would like to keep you up-to-date with our latest work and how you can help support our charity. You can unsubscribe at any time. Please tell us how you prefer us to communicate with you:

Yes No

Leave a Message (Optional)

Name to appear on page (Optional)

I'd like to remain anonymous to the fundraiser

All payments are secure & encrypted

Credit Card

Name on Card *

Card Number *

Card Expiry *

CVV Number * Donation

Cover platform costs

I'd like to add a little extra to help cover fees.

Gift Aid Yes, I am a UK taxpayer. Please treat all donations as Gift Aid donations. I understand that if I pay less Income Tax and/or Capital Gains tax than the amount of Gift Aid claimed on all my donations in that tax year, it is my responsibility to pay any difference. Further information

All payments are secure & encrypted

Thank you to my Sponsors

£25