Personal details

Donation by Direct Debit


Details
*Title
*First name
*Surname
Home no
Mobile no
Date of birth
*Email address
*Confirm email
Address
Enter postcode (and optionally house number in Address line 1) then click 'Find address'
*Postcode
*Address line 1
*Town
County
How did you hear about Friends of LOROS?
Please Specify:

Keeping in touch
Your support really makes a difference and we’d like to keep you updated with our news, activities and appeals. We’ll use the above details to send this to you by email. If you’d also like to receive this by post, please tick yes below:
If you'd rather not hear from us at all tick here:
You can change your preferences at any time by contacting us at supportercare@loros.co.uk. LOROS (including LOROS Enterprises and LOROS Lotteries) will not share your data with anyone apart from suppliers working on our behalf. For full details of what we do with your personal data (including your rights), see our Privacy Policy or contact us to obtain a copy. To contact our Data Protection Officer either email dataprotection@loros.co.uk, write to her at LOROS Hospice, Groby Road, Leicester LE3 9QE or call (0116) 231 3771.
Payment details
Bank details
Loros
Groby Road
Leicester
LE3 9QE
DDLogo

Email: supportercare@loros.co.uk

For any queries, contact us on :
(0116) 231 8459

You will need your account details, which can be found on your cheque book or bank statement, to complete the direct debit instruction.

If you require dual signatories to authorise a direct debit from your account, please contact our Finance team directly on (0116) 231 8459


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