Five Valleys Walk 2024 - Donation
Personal details
Title
Please select...
Mr
Mrs
Ms
Miss
Mx
First Name
Last Name
Email
Street Address
Town or City
Postcode
Country
Five Valleys Walk items
Please note that it is too late to send additional items like raffle tickets and t-shirts to you via post, so these can be purchased on the day
Number of
Raffle
tickets at £1 each
Please select...
1
2
3
4
5
6
7
8
9
10
Reserved
Car Parking at Cricket Club
at £5 per car
Please select...
1
2
3
Number of
Adult T-Shirts
at £10 each
Please select...
1
2
3
4
5
6
7
8
9
10
Number of
Children's T-Shirts
at £6 each
Please select...
1
2
3
4
5
6
7
8
9
10
Number of
Dog Bandana'
s
at £7 each
Please select...
1
2
3
4
5
6
7
8
9
10
Items total £
Donation
(Eligible for Gift Aid if you are a Tax Payer)
£22
£10
£5
Other
Other Amount
Total amount due £
Hidden Payment Totals
Adult T-Shirts sizes
Adult Small
Please select...
1
2
3
4
5
6
7
8
9
10
Adult Medium
Please select...
1
2
3
4
5
6
7
8
9
10
Adult Large
Please select...
1
2
3
4
5
6
7
8
9
10
Adult XL
Please select...
1
2
3
4
5
6
7
8
9
10
Adult XXL
Please select...
1
2
3
4
5
6
7
8
9
10
Children's T-Shirts sizes
Child size 7-8 yrs old
Please select...
1
2
3
4
5
6
7
8
9
10
Child size 9-11 yrs old
Please select...
1
2
3
4
5
6
7
8
9
10
Gift aid
Thanks to the Government’s Gift Aid scheme, Meningitis Now can reclaim 25p on every £1 its supporters donate. If you are a UK taxpayer, you can make your donations worth 25% more to us at no extra cost to you.
I confirm that I am a UK Income or Capital Gains taxpayer.
I have read this statement and want
Meningitis Now to reclaim tax on the donation detailed above, given on the date shown and any
donations I make in the future or have made in the past 4 years. I understand that if I pay less Income
Tax or Capital Gains tax in the current tax year than the amount of Gift Aid claimed on all of my
donations, it is my responsibility to pay any difference. I understand Meningitis Now will reclaim 25p
of tax on every £1 that I have given.
I am not a UK taxpayer
Today's date
If your tax status, contact, or personal details change, please let us know. We will update our records accordingly
Click 'submit' to be redirected to the payment page, please have your credit card, debit card, or PayPal login ready
Paypal_Hidden_Fields
Contact Information