Donations Form

Please make sure that you have read our Terms and Conditions before proceeding.

Fields marked with a * are mandatory.

Your Title

First Name*

Surname*

Billing Address (line 1)*

Billing Address (line 2)

Billing Address (line 3)

Billing Address (line 4)

Town*

County*

Postcode *

Country *

Telephone Number *

Email Address *

Amount to donate *
£

If your gift is made in memory, please provide:

Name of person being remembered

Your relationship to them (e.g. husband, wife, partner, friend, etc.)

Is your gift for a Tribute Fund?

Yes
No

If yes, please give the name of the Fund

Gift Aid

Every gift of £10 can now be worth an extra £2.82. The gift aid scheme allows us to reclaim tax on every donation, whatever the amount. If you pay annual income or capital gains tax equal to the tax we will reclaim please tick the box below.

I would like my gift to work even harder by ensuring the taxman can add his contribution too. Please treat all donations I make as Gift Aid donations, until I tell you otherwise.

Data Protection

The MND Association complies with the Data Protection Act. Your details will be added to our database. You may inform us at any time if you do not wish to receive mailings from the MND Association or the organizations with whom we co-operate.