Account Holder's Details
  1. Company Name

Payment Detail
  1. Frequency:
    1. Amount
  2. First collection date:
  3. Please select which Centre you wish to support with your regular gift:
Mailing Preferences
  1. Please update me by Email Please DON'T update me by Telephone
  2. Please update me by SMS Please DON'T update me by Post
  3. We may use details you provide to send you information on our work, news and fundraising activities. We work with third parties to communicate with you in the most efficient way possible, but we never sell your details and you can change your communication preferences at anytime.

    If you would like to opt out of our communications or change your details or preferences please contact our Supporter Care Team on 0300 123 1801 or email enquiries@maggiescentres.org. To view our privacy notice please visit maggiescentres.org/privacy



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Registered Office: Maggie's, The Stables, Western General Hospital, Crewe Road, Edinburgh EH4 2XU Registered Charity Number: SC024414

The Maggie Keswick Jencks Cancer Caring Centres Trust is a company limited by guarantee Company Number: SC162451

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