Health Poverty Action

Monthly
Single

Select a regular monthly amount and join our community

£5

£5 a month could pay for four malaria prevention packs each year, so people working in forests can stay healthy
£7

£7 a month could cover the cost of buying and installing a solar-powered electrical system in one family’s home each year
£15

£15 a month could cover the cost of training one social worker each year to support the treatment of people who inject drugs

Select a single amount and support innovative initiatives in Cambodia

£15

£15 could pay for a malaria prevention pack so someone working in forests can stay healthy
£56

£56 could cover the cost of a home visit to support a person who injects drugs
£75

£75 could cover the cost of buying and installing a solar-powered electrical system in a family home

Donate now

Just a few details needed

Contact Details

Title *

First Name *

Last Name *

Postcode * (find my address)

Address 1 *

Address 2

Town / City

County / State

Country

Phone number

Email *

Data Protection

Sign up to be kept up to date on the global movement for better health, including how you can get involved in our work through campaigning and fundraising.

Please tell us if you would be happy for us to contact you with this information:

Yes please, I'd like to hear from you by email
Yes please, I'd like to hear from you by post
Yes please, I'd like to hear from you by phone
Yes please, I'd like to hear from you by SMS

If you would like to change your preferences at any time, please get in touch by emailing data@healthpovertyaction.org or calling 020 7840 3765. For more information please view our Privacy Policy

You're one step away...

Payment Details

Account Name *

Account Number *

Sortcode *

Claim day *

Payments will start on the next available date 20 days from today.

* I confirm I am the account holder and the only person required to authorise debits from the account

All payments will appear on your bank statement as Health Poverty Action.
Health Poverty Action will send you a Direct Debit confirmation email within three working days of submitting your payment. If you are not the named account holder or require another signature to authorise Direct Debits on this account, please contact supporter care team on 020 7840 3765.

Direct debit service user number: 948643

Instruction to your bank or building society Please pay Health Poverty Action Direct Debits from the account detailed in this Instruction subject to the safeguards assured by the Direct Debit Guarantee. I understand that this Instruction may remain with Health Poverty Action and, if so, details will be passed electronically to my bank / building society.

Show Direct Debit Guarantee

In order to set up an online Direct Debit you must be the account holder of a personal bank or building society account and the sole required signatory on the account. If you are not the only required signatory on your account, or you would rather send us a paper version of this form, download the printable PDF version of the Direct Debit form.

How did you hear about us?

Select a regular monthly amount and join our community

Select a single amount and support innovative initiatives in Cambodia

Contact Details

Data Protection

Gift Aid

Payment Details