Be a Brick

All our 'In Memory Bricks' come with a certificate to show the purchase made in the name of a loved one. You can be confident that purchasing a Brick will help change the lives of our future Cancer patients and their families.

 

Donation Information
Amount:	Buy Bricks (each) £ 10.00 Buy Rows (each) £ 100.00 Buy Walls (each) £ 1,000.00 Other £     *
Additional Information
Frequency:	Weekly Monthly Quarterly Annually On:   Sunday Monday Tuesday Wednesday Thursday Friday Saturday Starting:    Ending:   Ending:
Gift Aid:	I am a UK taxpayer, and wish The Forever Friends Appeal | Royal United Hospital (RUH) to claim Gift Aid on this donation on all donations I have made in the last four years and any future donations I make. I confirm I have paid or will pay an amount of Income Tax and/or Capital Gains Tax for each tax year (6 April to 5 April) that is at least equal to the amount of tax that all the charities or Community Amateur Sports Clubs (CASCs) that I donate to will reclaim on my gifts for that tax year. I understand that if I pay less income tax in the current tax year than the amount of Gift Aid claimed on all of my donations it is my responsibility to pay any difference. I understand the charity will reclaim 25p of tax on every £1 that I give or have given in the last four tax years.    What is Gift Aid?
Name of loved one you wish to be acknowledged:
Communication Preferences We'd love to keep you updated about our work. This may include supporter magazines, updates and fundraising activities. We never share your information with others for their own marketing. Communication Type Opt-in Opt-out By Phone By Post By Email Email opt-out Please ignore this option and use the above selections View our privacy policy
Billing Information
Title:	<Please select> Mr Ms Mrs Dr Miss Master Prof. The Duke Duke The Dowager Her Grace Your Grace The Hon The Rt. Hon The Honorable Judge Rabbi Reverend Sister Father Brother Lt. Capt. Major Cmdr. Col. Admiral General Ambassador Governor Sir Madam Sir/Madam Drs. Her Grace, The Dowager Duchess Marquess Lord The Rt. Hon Lord The Rt. Hon Lady Lady The Most Hon. The Marquess The Most Hon. The Marchioness The Most Hon. The Dowager Marchioness The Dowager Marchioness Earl The Rt. Hon. The Earl The Rt. Hon. The Countess The Rt. Hon. The Dowager Countess Count Countess Viscount The Hon. Viscountess The Rt. Hon. Viscount The Rt. Hon. Viscountess The Hon. Mrs The Rt. Hon. The Lord The Rt. Hon. The Lady Dame The Hon. Dame The Most Rev.&Rt.Hon.the Lord Archbishop of Archbishop Bishop The Rt. Rev. The Lord Bishop The Rt. Rev. The Very Rev. The Dean of Lord Lieutenant High Sheriff The Rev. The Ven. The Archdeacon of The Rev. Canon Canon Vice Admiral Rear Admiral Lieutenant Colonel Air Vice Marshal The Rt. Hon. Lord Justice Lord Justice The Hon. Mr. His Honour Judge His Excellency the Ambassador of His Excellency the Your Excellency His Royal Highness The Prince of Her Royal Highness The Princess of His Royal Highness Prince Her Royal Highness Princess The Rt. Worshipful Mayor of Councillor Lt. Cdr. Lieutenant Commander Cllr. The Most Rev. and Rt. Hon. the Lord Archbishop Earl of Maj the Rt. Hon Lord The Hon Lady The Rt. Hon the Visount The Ven. The Archdeacon of Wiltshire Princess The Rt Rev the Bishop of The Duke of Dr The Hon Hon The Marquess of Chair of B&NES Duke of Prince District Judge of Bletso Her Royal Highness The Colonel Dom Fr The Lord Major The Baron Lieutenant General HM Lord Lieutenant Brigadier Private Air Commodore Sqn Ldr Lt. Col Masters Baroness Mr and Mrs The Rt Rev The Rt Revd PC Sergeant Commodore	*
First name:		*
Surname:		*
Country:	United States Canada United Kingdom Australia New Zealand Ireland Portugal India Scotland Jersey Germany Hong Kong Netherlands Bermuda Malaysia France Gibraltar	*
Postcode:
Address lines:		*
City:		*
County:	Bath & North East Somerset Bath and North East Somerset Bristol, City of Vale of Glamorgan, The [Bro Morgannwg GB-BMG] Aberconwy Anglesey B&NES Bath Bedfordshire Berkshire Borders Bristol Caenarfonshire Cambridgeshire Cardiganshire Carmarthenshire Cheshire Colwyn Cornwall Cumbria Devon Dorset Dumfries & Galloway Durham East Ayrshire East Lothian East Sussex Essex Glamorgan Gloucestershire Hampshire Hereford & Worcester Kent Lanarkshire Lancashire Leicestershire Lincolnshire Merseyside Middlesex Midlands Monmouthshire Newport Norfolk North Ayrshire North Somerset North Yorkshire Northamptonshire Northumberland Nottinghamshire Oxfordshire Pembrokeshire Powys Shropshire Somerset South Ayrshire South Gloucestershire South Yorkshire Stirlingshire Suffolk Surrey Sussex Warwickshire West Lothian West Midlands West Sussex Wiltshire Yorkshire Gwent Avon N Somerset West Wiltshire Herts Buckinghamshire North Wales Herefordshire North Wiltshire Wales West Yorkshire Oxon Nr Bath Nr Bristol Scotland Switzerland Channel Islands South Wales Staffordshire Worcestershire South Devon Ceredigion Cleveland Liverpool Tyne & Wear 8AL Stroud Guernsey Republic of Ireland County Durham Eire Dunbartonshire South Glos Gloucester Exeter Jersey Petersborough Derbyshire BA1 3RD Perthshire Hertfordshire BA1 6NF London North Devonshire Greater Manchester Badminton Saltford Westbury Radstock Melksham Bath West Glamorgan
Phone:		*
Email:		*
Payment Information
Name As Displayed On Card:		*
Credit Card Number:		*
Card Type:	Visa American Express Discover Maestro MasterCard	*
Valid From:	01 02 03 04 05 06 07 08 09 10 11 12  / 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022  (Maestro/Switch/Solo only)
Card Expiry:	01 02 03 04 05 06 07 08 09 10 11 12  / 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036 2037 2038 2039 2040 2041	*
Issue Number:	(Maestro/Switch/Solo only)
Card Security Code:		*
	Note: The Card Security Code is not required for Maestro, Switch and Solo cards.

Disclaimer: We want to make it clear: these are not real Bricks. You will not receive or actually own a Brick. But the money you donate will be used by us to fund £8.5m towards a new Cancer centre at the RUH. Find out more about the Cancer Centre Plans.

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