Donation Form

Your Name
	*	You must complete the fields marked with an asterisk
Title	*
Title: (if other)
First Name	*
Last Name	*

Your Contact details
Email address	*
Confirm Email address	*
Mobile Phone Number
		We would like to keep in contact with you about upcoming news, events and fundraising activities using the contact details you have supplied above.
		To receive this information by email please tick this box:
		To receive this information via your mobile phone please tick this box:

Your address details
Address	*


Town/City	*
County/State
Post/Zip Code	*
Country	*
		We would like to keep in contact about upcoming news, events and fundraising activities using the postal address details you have supplied.
		If you would prefer not to receive this information by post please tick this box:

Your Gift Aid declaration
		If you are a UK taxpayer, the value of your donation can increase by at least 25% under the Gift Aid scheme — at no additional cost to you! Please tick the box below to join the Gift Aid scheme. GIFT AID INFO: For example, if you give £10 to Pratham UK, HM Revenue & Customs will add £2.82, bringing the total donation to £12.82. In order for Pratham UK to reclaim the tax you have paid on your donation(s) you must have paid UK income tax and/or capital gains tax equal to the tax that will be claimed (currently 28p for every £1 you give). Please note that we can only reclaim tax on donations made from a personal bank or building society account. We cannot claim Gift Aid on donations made from company accounts.
		I am a UK taxpayer. Please treat all donations I make or have made to Pratham UK for the past six years as Gift Aid donations until further notice.

Your donation
		Once this form has been submitted, please click on the Paypal button to make your donation.
Amount	*	£

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