Make a Donation | demo.circle-interactive.co.uk

This donation form has been created using a CiviCRM contribution page.

It allows users to select or enter a donation amount, enter their personal details and make an online payment.

Upon submission of this form, a new contact is created in CiviCRM linked contribution.

Use these test card details to complete the form:

4444 3333 2222 1111 | Sec Code: any three digits | Exp: Any date in the future

Contribution Amount

<! £5 > - £ 5.00 (includes VAT of £ 0.00)

<! £10 > - £ 10.00 (includes VAT of £ 0.00)

<! £25 > - £ 25.00 (includes VAT of £ 0.00)

<! £50 > - £ 50.00 (includes VAT of £ 0.00)

<! £100 > - £ 100.00 (includes VAT of £ 0.00)

Other Amount

Other Amount £

Total Amount

I want to contribute this amount every month

Supporter Profile

First Name *

Last Name *

Email Address *

The information you provide will NOT be shared with any third party organisations.

Thank you for getting involved in our campaign!

Credit Card

Card Type

Card Number *

Security Code *

Expiration Date *

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

County *

Postal Code *

Gift Aid

Can we reclaim gift aid on your donation? *

Yes, and for donations made in the past 4 years Yes, today and in the future No

By selecting 'Yes' above you are confirming that

You are a UK taxpayer
The amount of income and/or capital gains tax you pay is at least as much as we will reclaim on your donations in this tax year

About Gift Aid

Gift Aid increases the value of membership contributions and donations to charities by allowing them to reclaim basic rate tax on your gift. It allows us to claim 25% on top of your donation, for example, on a £50 membership or donation, we can claim back an additional £12.50.

We would like to reclaim gift aid on your behalf. We can only reclaim Gift Aid if you are a UK taxpayer. Please confirm that you are eligible for Gift Aid. More about Gift Aid.

Street Address *

Street Address line 2

City

Postal code *