Transform a life Please support ERIC today and help a child or teenager with a distressing bowel or bladder condition to live free from embarrassment, shame, isolation and fear. 1. Your donation Please select a donation amount: * £10 pays for two family information packs £25 pays for a half an hour call with one of ERIC's expertly trained advisors £50 helps pay to train a school nurse £250 pays for our Information & Helpline service for a day which includes maintaining and developing the website £500 helps fund a campaign to reach more children You need to have the donation amount set to at least £1.00 for monthly donations You need to have the donation amount set to at least £0.50 for one off donations Other Set up a regular payment How often would you like to donate? Monthly Quarterly Yearly Preferred collection day 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th 13th 14th 15th 16th 17th 18th 19th 20th 21st 22nd 23rd 24th 25th 26th 27th 28th If you are a UK taxpayer your donation could be worth £12.50 at no extra cost to you. Yes - I am a UK taxpayer and would like to Gift Aid my donations now and in future. I understand I must pay enough income tax and/or capital gains tax each tax year to cover the amount of Gift Aid that all charities and community amateur sports clubs claim on my donations in that tax year, and I am responsible for paying any difference. Please remember to let us know if your tax status, name or address change or if you wish to cancel your Gift Aid declaration. Leave a comment with your donation 2. Payment method Please select a payment method. Free of charge Please authorize using the button below Card number * Don't forget your card number Your card number must be valid Start date (MM/YYYY) / End date (MM/YYYY) * Don't forget your end date Your end date is incorrect / Security code * Don't forget your security code Your security code must only include digits and there must be 3 or 4 of them Country where the card is registered Afghanistan Aland Islands Albania Algeria American Samoa Andorra Anguilla Anla Antarctica Antigua Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzevina Botswana Bouvet Island Brazil British Indian Ocean Territory British Virgin isl. Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Rep. Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Con Con, the Democratic Republic of the Cook Islands Costa Rica Croatia Cuba Curacao !Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea Bissau Guyana Haiti Heard Island and McDonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Ivory Coast Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic Peoples Republic of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Monlia Montenegro Montserrat Morocco Mozambique Myanmar/Burma Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion !Réunion Romania Russian Federation Rwanda Saint Barthelemy !Saint Barthélemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovak Republic Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan, Province of China Tajikistan Tanzania Thailand Timor-Leste To Tokelau Tonga Trinidad-Toba Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu U.S. Virgin Islands U.S.A. Uganda Ukraine United Arab Emirates United Kingdom United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Vietnam Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Please enter your postcode* Don't forget your postcode and address Your postcode is invalid Look up address or Enter address Street Please select Don't forget the first line of your address Address line 1 Address line 2 Don't forget your town or city Town or city About you Why are you donating? Please select I use ERIC services and resources I am sympathetic to your cause I received an appeal letter I heard about you in the media I receive your newsletter I saw you on Facebook I follow you on Twitter Other Display your name with your donation on our site. Register using PayPal Account Title* Don't forget your Title Please start typing and select from the drop down First name * Don't forget your first name Last name * Don't forget your last name Display your name with your donation on our site. Email * Don't forget your email address Your email address has an invalid format Which country do you live in? Afghanistan Aland Islands Albania Algeria American Samoa Andorra Anguilla Anla Antarctica Antigua Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzevina Botswana Bouvet Island Brazil British Indian Ocean Territory British Virgin isl. Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Rep. Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Con Con, the Democratic Republic of the Cook Islands Costa Rica Croatia Cuba Curacao !Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea Bissau Guyana Haiti Heard Island and McDonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Ivory Coast Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic Peoples Republic of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Monlia Montenegro Montserrat Morocco Mozambique Myanmar/Burma Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion !Réunion Romania Russian Federation Rwanda Saint Barthelemy !Saint Barthélemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovak Republic Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan, Province of China Tajikistan Tanzania Thailand Timor-Leste To Tokelau Tonga Trinidad-Toba Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu U.S. Virgin Islands U.S.A. Uganda Ukraine United Arab Emirates United Kingdom United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Vietnam Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Please enter your postcode* Don't forget your postcode and address Your postcode is invalid Look up address or Enter address Street Please select Don't forget the first line of your address Address line 1 Address line 2 Don't forget your town or city Town or city Keeping in touch We'd love to keep you posted about our latest news and developments. Please tick the boxes to tell us if you're happy for us to contact you about: How you can help us raise funds to support children and teenagers Continence products and special offers Training and resources for professionals Services for families and children Volunteering opportunities Please let us know how we can contact you: Via email Via telephone Your telephone number Please enter numbers only Don't forget your telephone number Via SMS Your mobile telephone number Please enter numbers only Don't forget your mobile number Via post Your privacy is important to us We promise to respect your privacy: we'll never sell or swap your details with any other organisations and we'll always make it easy for you to opt out of further contact. We'll store your personal details securely. For full details see our Privacy Policy or contact us at [email protected]. Donate By submitting this form you are agreeing to our terms and conditions Click on the links below to access the full terms and conditions of use of our website: - Terms and conditions of use - Terms and conditions of sale - Privacy Policy Target £10,000 Raised so far £8,014