Champion of Hope application

Please fill in this online form if you would like to support us by becoming a Champion of Hope.

First Name *

Last Name *

Address *

Telephone Number *

email address *

If you are a UK taxpayer, would you like us to reclaim tax on donations you make to us? This means that we can receive an extra 25 pence for every pound you donate - and it won't cost you a penny more! *

Yes

* Required Fields