Group B Strep Support: Donate in Honour
*Marked fields are required.
Person to be Honoured
Please tell us about the person you would like to honour. This information will appear on the Donation Certificate.
Occasion Title*
In Honour of
(e.g. Your Birthday)
Title of person to be honoured
First Name of person to be honoured *
Last Name of person to be honoured*
Email Address of person to be honoured*
Group B Strep Support will send a personal email acknowledging your gift to the person you are honouring so they can view/print the Donation Certificate. You will also get a copy of this email.
Your Personal Message to the person you are honouring (please limit your message to 2 or 3 lines)*
You and Your Donation
Donation Amount £*
Your Name*
Your Address (including postcode)*
Your Tel
Your Email Address*
Gift Aid Donation?
Yes
No (Selecting Yes confirms that you have paid UK Income Tax and/or Capital Gains Tax at least equal to the tax that GBSS will reclaim on this donation ...
more Gift Aid info below
)
Agree to receive mail from GBSS?
Yes
No (If you do not wish to receive future mailings from us please select No)
Review Donation Certificate
Please review the Donation Certificate by clicking the 'Preview Certificate' button. If you are satisfied use the 'Donate' button on the next page to be transferred to our Secure Server where you can enter your card details with confidence and complete the donation process. Otherwise click the 'Back' button on the next page to come back and make adjustments before proceeding.
Gift Aid:
If you are a UK taxpayer we can claim a tax re-payment of 25% from the government on your donation, at no extra cost to you. By selecting 'Yes' above, you are confirming that you wish GBSS to treat as a Gift Aid donation all donations that you make from the date of this declaration. And you are confirming that you have paid UK Income Tax and/or Capital Gains Tax at least equal to the tax that GBSS will reclaim on this donation.