Pennies from Heaven Hospital Staff

Full Name (required)

Date (required)

Email Address (required)

Telephone Number (required)

Employee Number (you can find this number listed on your pay slip as your assignment number) (required)

I authorise my employer to collect from my salary such odd penny balances (maximum 99p per pay period) and to distribute such amounts to Birmingham Women’s and Children’s Hospital Charity.
This authorisation is effective from today’s date and shall remain in force until cancelled in writing. If I am a UK Taxpayer I give my consent for Gift Aid to be reclaimed on my donations (this boosts your donation by 25% and costs you nothing). More information about the scheme and its and T&C’s can be found by visiting the website www.penniesfromheaven.co.uk

Please tick the box if you wish to opt into Pennies from Heaven and to confirm that you have read and understood the terms and conditions. (required)

I understand

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