Aff Cath Online Single Donation Form

Single Donation Form
Title
Full Name

First NameLast Name
Company name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Mobile Number
Diocese
E-mail
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By giving us your postal address, email address and/or your telephone number, you agree that we may use it to send you information about our work, fund raising and other activities by email and/or SMS. We would like to keep you up-to-date with our work and other activities.
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Gift Aid Declaration
By selecting the Gift Aid box you agree to the following: I declare that I wish this donation made by me to (Registered Charity no. 1007291) to be treated as Gift Aid donation and for the charity to be able to reclaim tax on the amount. I understand that in order to declare this donation as a Gift Aid I pay income tax or capital gains tax equal to the tax the charity is able to reclaim on these sums (currently 28 pence for every £ that I give).
Tax payer status
MonthDayYear
Please fill the amount you wish to donate to AFF CATH in the box below and click submit to be taken to our secure WorldPay transation page.

Registered Charity number 1007291.
Donation

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