Update to donation amount

Please use this form to request changes or remove the voluntary contribution included with your subscription. This will amend the value of the direct debit collected if received by 20 December. Amendments after this date may not be processed in time for the next direct debt collection from GoCardless.

Name ^* (required)

Email ^* (required)

Donation amount ^* (required)

I want to Gift Aid my donation and any donations I make in the future or have made in the past 4 years to The Intensive Care Society.

I am a UK tax payer and would like to benefit from applying Gift Aid