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Please fill out the form below. After submitting the form you can either print the page and send your donation through the post, or make a donation online, using your credit card. All boxes on the form marked with *, must be filled in.

Your donation will be processed by WorldPay plc, who specialise in the secure online capture and processing of online transactions. The credit card form is secure and all processing of your donation is automatic.

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Donation details

Donation Amount:

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Donation Target: If there is a specific appeal or area you would like your donation to go towards, please type it in this box

gift aid logo If you are a UK tax payer, please don’t forget to Gift Aid your donation. We can claim back 28p for every £1 donated (25p from 6 April 2011). To do this, we must have your full name and address (to qualify for Gift Aid you must pay an amount of income tax and/or capital gains tax equal to what we reclaim on your donation).

I'm a tax payer and would like United Response to reclaim tax on all donations I have made since 6 April 2000 and all donations I make here after at no extra cost to me

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If you would prefer to donate by cheque, please print the form, fill in your details and post with your cheque to:

United Response, Fundraising, FREEPOST LON17505, London SW15 2BR

Having problems with this form? Please contact the fundraising team

To find out more about how your donations will be spent, read Our Stories.