Regular donation

Use the form below to set up a regular donation using Direct Debit.

If you require assistance, please get in touch.

Your regular donation

Or choose your own amount

GBP

Commencement date

Your account will be debited each month, from the date specified by the commencement date and thereafter on each day of the month as specified by the commencement date day.

Your details

Title

First name

Last name

Email address

Primary telephone number

Postcode

Address

Are you happy for your supported organization to stay in touch with you?

Yes No

Do you want your name to be published to the fundraising page?

Yes No

Gift Aid

Are you eligible for Gift Aid?

Yes No

Help about: Gift Aid

Gift Aid is applicable only to UK residents who pay enough UK income tax and/or capital gains tax to cover the Gift Aid benefit.

By ticking the box, you confirm that you are a tax payer and you understand that if you pay less Income Tax and/or Capital Gains Tax in the current tax year than the amount of Gift Aid claimed on all your donations, it is your responsibility to pay the difference.

Furthermore, you understand that in order to be eligible for Gift Aid you confirm that:-

The money you are donating is your own and is not being donated on behalf of anyone else.
You will not receive anything in return for your donation (e.g. book, auction prize).
You are not making the donation as part of a sweepstake, raffle or lottery.

Regular donation

Your regular donation

Your details

Gift Aid

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