Make a donation
Order Details
You are donating:
10.00 GBP
To:
Awyr Las Donation
Card Details
Title:
*
Name On Card:
*
Card Number:
*
Expiry Date:
*
Start Date:
Issue Number:
CV2 (last 3 digits
on card reverse):
*
Customer Details
Email Address:
*
Phone Number:
*
Address:
*
 
 
Town / Village:
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County:
Post Code:
*
Country:
*
Your contact details will be held securely on the Awyr Las supporter database in accordance with the 1998 Data Protection Act. We would like to keep you informed about Awyr Las news, appeals and events. If at any time you prefer not to receive this information please contact the Fundraising Support Team on 01248 384395 or email awyrlas@wales.nhs.uk.
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