Air Ambulance collection tin authorisation

Thank you for agreeing to have The Air Ambulance Service fundraising collection tin at your premises. We are very grateful of your kind support and helping us to raise funds and awareness in this way.
Should your tin need emptying, or if for any reason you believe that the tin may have been tampered with, is lost or stolen, we ask that you please report this immediately.
Please refer to the “Your fundraising tin guide” for information on how to arrange a collection or banking the money collected. Please remember to provide your unique reference number to ensure that we can acknowledge receipt of the funds.

For further support please contact our Supporter Care team on 0300 3045 999.

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* 1. Contact Information

Main Contact Name

Venue Name

Address

Address 2

City/Town

ZIP/Postal Code

Country

Email Address

Phone Number

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* 2. Tin Number/s

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* 3. I confirm my approval for The Air Ambulance Service fundraising collection tin to be placed at my premises (at the location above) for a given period of time. If the tin becomes full and needs to be emptied, I am happy to contact the Supporter Care team to make the necessary arrangements. I understand I will contact the Supporter Care team should this arrangement change at any time or if I require the tin to be removed. I also confirm that should I believe the tin to have been tampered with in any way, that I will inform The Air Ambulance Service who will report this immediately.

I Agree to the above statement

I disagree to the above statement

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* 4. Your Name

How will we use this data?
We are only asking for limited personal data and this will only be used for the purposes of managing the collection tin. This will not be used for any other purpose.