Berkshire Donation Form - REMAP - Custom made equipment for disabled people

Other amount £

Donation Amount

Gift Aid

Please claim Gift Aid on my donationI don't want Gift Aid to be claimed or I am not a UK tax payerIncrease your donation at no cost to you by 25p of Gift Aid for every £1 donated

Billing Information

First Name

Last Name

Street

Town/City

Postcode

County

Country

We would love to keep in touch

We only contact people who have given us their specific permission to do so. We would like to keep in touch with you to keep you updated on our latest news, stories, fundraising and to ask for your feedback on our services.

How would you like to hear from us?

PostEmailPhonePlease tick the boxes to tell us what ways you would like to hear from us.

Phone

You can change your mind at any time by contacting us on 01732 760209 or data@remap.org.uk

Your details are safe with us. See link to Privacy Policy below this form.

Data Protection

Remap values your support and we promise to respect your privacy. Your information will be held confidentially and in accordance with data protection law. We will use this data to process your donation. We will not pass on your data to a third party without your consent.

Declaration

I consent to the processing of this data in accordance with the law on data protection

Tick box to agree

Payment Information

Name on Card

Credit Card Number

CVV

Volunteer with us

You have chosen to donate to the Berkshire Branch

We would love to keep in touch

Data Protection

Declaration