Pay in Money - Cancer Care West

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Patient & Family Support Services
- Galway Cancer Support Centre
- Physical Rehabilitation Programmes
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Pay in money from your fundraising

You are helping us to provide our cancer support services, so no one has to face cancer alone. Donate today and help us support more people living with cancer and their families and friends.

1Donation

2Details

3Payment

How much would you like to donate?*
- €50
- €75
- €100
- €250
- €500
- €1000
What is your reason for donating?*
- Support our Residential Services
- Support Cancer Support Services
- Mayo Bus Appeal
- In Memory of Somebody
- Fundraising Event
- Other
In Memory Of*
Would you like an acknowledgement sent to the family
Family Name*
Family Address*
Event Name*
More Details
One Off Donation

Left Hand Column Start
First Name*
Last Name
Email*
Phone no.
Left Hand Column Start
Right Hand Column Start
Address Line 1*
Address Line 2
Town / City
Postcode
Right Hand Column End
How did you hear about us?
- Post
- Phone
- Online
- TV / Radio
- Friend
I would like Cancer Care West to keep contact with me by
- Post
- Email
- Phone
- SMS
When you proceed to the next step of your donation, we'll transfer you to our secure site where we handle your personal and financial details safely and securely

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Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name