"*" indicates required fields Your Name:* First Last Address* Street Address Town/City County Postcode Your email:* Contact Phone Number:Where would you like your Gift Card sent?* Send to me Send to them Recipients Name:* Recipients Address:* Street Address Town/City County Postcode Message to be written in card:*Please select the Gift/s you would like:WOULD YOU LIKE TO SUPPORT OUR MEDICAL WORK?*This is perhaps the most important aspect of our work and is reflected in our title - Health Help International. It naturally consumes a large proportion of our income. Yes No Bedding and cutlery supplies (M01) Quantity Price: £ 5.00 Quantity Physiotherapy (M09) Quantity Price: £ 20.00 Quantity Orissa medical outreach (M03) Quantity Price: £ 20.00 Quantity Sensory Aids (M04) Quantity Price: £ 25.00 Quantity General Medicines (M02) Quantity Price: £ 40.00 Quantity Nutritional food for Children's hospital (M07) Quantity Price: £ 50.00 Quantity Wheelchair (M06) Quantity Price: £ 100.00 Quantity Special Medical Treatment (M08) Quantity Price: £ 100.00 Quantity One month's funding for medical assistant (M05) Quantity Price: £ 200.00 Quantity WOULD YOU LIKE TO SUPPORT WORK IN THE COMMUNITY?*We have a number of projects in progress in India and Zambia that require ongoing funding and/or materials to maintain their viability. We also seek to provide little ‘extras’ for children in particular. Yes No One months support for blind/deaf person (C01) Quantity Price: £ 10.00 Quantity Thanal House/Shanti Bavan (C04) Quantity Price: £ 20.00 Quantity Business Start Up support (C02) Quantity Price: £ 40.00 Quantity Improvement of sanitary facilities (C03) Quantity Price: £ 80.00 Quantity Sewing Machine & Training (C07) Quantity Price: £ 100.00 Quantity Credit Unions - one month support (C06) Quantity Price: £ 120.00 Quantity Village Well (C05) Quantity Price: £ 150.00 Quantity WOULD YOU LIKE TO SUPPORT WORK IN EDUCATION?*School pupils and older students need support for all aspects of their education: fees, clothing, equipment, etc. In addition, new teachers need to be trained. Yes No School Stationery (E01) Quantity Price: £ 5.00 Quantity Gift for a child (E05) Quantity Price: £ 5.00 Quantity School Uniform & Shoes (E02) Quantity Price: £ 10.00 Quantity Residential School Fees & Tuition Groups (E04) Quantity Price: £ 45.00 Quantity Special Needs Teacher (E03) Quantity Price: £ 80.00 Quantity Special Needs School (E06) Quantity Price: £ 250.00 Quantity WOULD YOU LIKE TO SUPPORT WORK IN AGRICULTURE AND SELF SUFFICIENCY?*Good food is one of the keys to good health. The gifts in this section will help many people enjoy the benefits of growing vegetables and fruit or rearing their own animals for food and/or milk. Yes No Meals & Nutritional support (A07) Quantity Price: £ 10.00 Quantity Seeds & Fertilizer (A01) Quantity Price: £ 20.00 Quantity Hens and Hen Coop (A02) Quantity Price: £ 35.00 Quantity A Goat (A03) Quantity Price: £ 50.00 Quantity A Calf (A04) Quantity Price: £ 200.00 Quantity A Cow (A06) Quantity Price: £ 500.00 Quantity I would like to select my own level of donation for general funds (G01): Please put in your amount you would like to donateTotal GIFT AID I pay income tax and would like to increase my donation by around 25%I would like Health Help International to treat my donation as a Gift Aid donation. Declaration: I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year it is my responsibility to pay any difference.Credit Card Cardholder Name Card Details
