Pay in your money online - Test

Pay in your fundraising money

Please complete the form below and click 'Proceed' to complete your payment. You will then be taken to the PayPal website where you can pay using your credit/debit card or PayPal account

Your details

Indiviudual
Organisation

Donation Amount

You have chosen to donate:

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Last name*

Organisation name

Your address

If you are making a donation for your organisation, please enter your work address and job details above. If this is a personal donation, please enter your home address.

Address 1*

Address 2

City*

Postcode

Email*

Supporter number

Your donation

Donation amount individual*

Total

£ 0.00

Credit Card

Card Details

Cardholder Name

If you are a UK tax payer and this donation is a single payment from yourself (and not a collection from friends or colleagues), Jeans for Genes Day can add Gift Aid to your donation. This means we can reclaim the tax. Please select 'yes' if you would like to Gift Aid your donation.

I'd like to add Gift Aid to my donation

Yes
No

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

We will post you a thank you certificate.

WE Would like to opt you in test

Second Choice

Who do you want it made out to?

Other

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