Donation Form – Friends of Whirlow Brook Park

Name *

First

Last

Email *

Sum donated *

This donation is

If the donation is in support of a specific project please tick from this list of current projects

See the Current Projects page, link below, for details.

Date of donation *

Full Home Address including postcode *

Telephone number (mobile or landline) *

Gift aid declaration

I want to Gift Aid my donation of the sum above to Friends of Whirlow Brook Park. I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax in the current tax year than the amount of Gift Aid claimed on all my donations it is my responsibility to pay any difference.

Acknowledgement

Method of payment

Internet banking to Co-op bank account Friends of Whirlow Brook Park, account number,, 67305997 and sort code 08-92-99
Cheque (if you tick this option we will email you contact details for our treasurer)

Reference for payment if using internet banking

This should be your name followed by the word donation e.g. Dombeydonation.