Application - Bolton

Your Details

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Title *

First Name *

Last Name *

Email *

Phone Number

Address Line 1 *

Address Line 2

Address Line 3

Town / City *

Country *

Postcode *

Your Privacy

Your email address will be used to confirm payment, but we would also like to occasionally communicate with you via email by sending your our monthly e-newsletter. We would also like to send you fundraising appeals and updates on our work through the post.

Stay in touch

Mailing flag

Agree

I am happy for Emmaus UK to send me newsletters and fundraising appeals by post to keep me up to date with the work Emmaus is doing across the UK.

Email opt in

Agree

I am happy to receive a monthly e-newsletter from Emmaus UK. You can change these preferences at any time by contacting fundraising@emmaus.org.uk or calling 0300 303 7555

Gift Aid

Boost your donation by 25p of Gift Aid for every £1 you donate Gift Aid is reclaimed by the charity from the tax you pay for the current tax year.

Do you want to Gift Aid your donation and any donations you make in the future or have made in the past 4 years to Emmaus UK?

I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year it is my responsibility to pay any difference.

If this donation has been collected from a third party; for example; at a fundraising event, from a friend or family member, a sweepstake or raffle, or is being made on behalf of a company, we are unable to claim any Gift Aid on this donation.

Gift Aid *

Yes
No

One Off Donation

Credit Card *

Card Number

Security Code

Name on Card

Expiration/

Make a donation

Donating to Emmaus Bolton

Donation Summary

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Gift Aid

One Off Donation

COVID-19 update 23 March 2020