Donate by Cheque for Ged Vivian - Marathon Cycle Ride

You can make a donation to Action for Tinnitus Research by filling in the form below and selecting the confirm donation button. If you would prefer to post your donation form, simply print this page and send to the address that will appear on the page or use our contact section to find the address to send your donation.

Donation:	£
Title:
First Name:
Last Name:
eMail:
Telephone:
Fax:
Mobile:
Address:
	Make your gift count for more Make your gift worth 28% more to Action for Tinnitus Research, and more towards research by ticking the box below – all at no extra cost to you.
	Please reclaim tax on all donations I make to Action for Tinnitus Research from 6 April 2000 until further notice. Please note that you must pay an amount of income tax or capital gains tax at least equal to the tax we reclaim on your donations in any particular year (currently 28p for every £1 you give).
	Action for Tinnitus Research will contact you with regular and relevant information. Please select how we may contact you. Contact via post Contact via email

Action for Tinnitus Research will not share your information with any third-party unless required to do so by law. Please read our privacy policy.