Select an amount below or enter custom amount
£
Donation Amount:
£50.00
Custom Amount
Select Payment Method
Debit/Credit Cards
Personal Info
First Name
*
Last Name
*
Email Address
*
Phone
Donor Type
Donor Type
Guest
Member of AMA
AIMS No.
On Behalf of
Gift Aid
Gift Aid
Yes I would like you to claim Gift Aid on my donation
Add 25% more to your donation at no cost to you.
A Gift Aid declaration allows {sitename} to claim tax back on eligible donations. It means that for every £1 you donate to {sitename} we can claim back 25p, at no extra cost to you.
Credit Card Info
This is a secure SSL encrypted payment.
Card Number
*
CVC
*
Cardholder Name
*
Expiration
*
Here's what you're about to donate:
Donation summary
Payment amount
Giving frequency
One time
Donation Total
Donation Total:
£50.00