Donation/Payment Voucher

Please complete and submit the form below. You will then be presented with a link to make your PayPal payment. Thank you.

Your name:

Amount in words:

Amount in numbers:

Make a donation to the Shrine Payment for the purchase of goods

Please give details:

Gift Aid

Please tick and complete if you wish to Gift Aid your donation:

Title:

Forename:

Surname:

Address:
(full address must be entered, please)

Postcode:

I want the Church to reclaim tax on this donation.

I am a U.K. taxpayer and I 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.