Donation Form

IF YOU’D LIKE TO MAKE A DONATION
PLEASE LET US KNOW BY COMPLETING THIS FORM

Title (Mr, Ms, Dr etc) *

Full Name *

Email *

How much would you like to donate? *

For what purpose is this donation to be used? *

This selection allows us to ensure we only use this donation for the purpose that you intend.

If you are not already on our mailing list, would you like us to send you details of our events? *

How did you hear about the Society?

Gift Aid - UK Taxpayers only - I wish to Gift Aid all donations made in 2020 and in the future to the Mortimer History Society (registered charity 1171392), I am a UK taxpayer and understand that if I pay less Income Tax or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that year, it is my responsibility to pay the difference. *

Yes, I agree
No
Not a UK taxpayer

How do you intend to make your donation? *

making a one-off payment by direct transfer from my bank
using a credit or debit card or using Paypal
by cheque

Phone