Donation

This form allows you to send us a donation.
All donations are gratefully received and allow us to continue our dedicated work.

Please complete the sections below and remember to tick the Gift Aid box if you are a UK tax payer and would like us to claim Gift Aid on your donation. Please note we are only able to claim tax on personal donations not on money raised through events. We can only reclaim tax if you complete the home address section as well.

Once you have completed you form you will be re-directed to the secure Worldpay site where you will be able to enter your credit card details so your payment can be processed.

Title

First Name *

Surname *

Company Name

Email Address *

Amount to donate £ *

This donation is in memory of:-

This money is sponsorship money from the following event:-

This donation is a general donation in respect of:-

Please add any additional notes or information regarding this donation.

Gift Aid

I confirm I have paid or will pay an amount of Income Tax and/or Capital Gains Tax for each year (6th April to 5th April) that is at least equal to the amount of tax that all the charities or Community Amateur Sports Clubs (CASCs) that I donate to will reclaim on my gifts for that tax year. I understand that other taxes such as VAT and Council Tax do not qualify. I understand the charity will reclaim 25p of tax on every £1 that I donate. Please treat as Gift Aid donations: *

Please complete your HOME address if you wish us to reclaim Gift Aid tax on your donation.

Line 1
Line 2
Town
County
Postcode
Country

Your details will be kept on our database for record purposes. Would you like to be added to our mailing list to receive our newsletters ? *

Please accept this as your receipt. You will also receive confirmation from Worldpay that your payment has gone through their system.

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