Camp Simcha

Donation

I would like to make a donation of Select ... £10 £18 £30 £36 £40 £50    OR

Amount £ 

Standing orders

I would like to make this donation by standing order

monthly quarterly yearly

PLEASE NOTE: If you have selected to donate via standing order, payments will commence from the day after you make this payment.

Increase your gift by 28%

Please note – Gift Aiding your donation increases it by 28% at no extra cost to you. You just need to be a tax payer. Declaration: I am a tax payer and I want to claim back the tax on all donations I make from the 6 April 2005. My tax bill this year will be more than this gift.

Your details

Title
Mr Mrs Miss Ms Dr Mr & Mrs Rabbi Sir Lady Lord Prof Rev Family

First Name(s) as you would like it/them to appear on certificate

Last Name

Event/Campaign/Simcha you are giving to. If none please leave blank.

Other (Specify FULL DETAILS: Celebrant's Name / Event Type & Date / Contact Tel)

House/flat name/number

Road

City

PostCode

Telephone number — home

E-mail address