[bl_wag_donorfy min_amount="1" tags="Engagement_CommunityFriendofWag" campaign="Community Friends of Wag" activity_type="Community Friend of Wag sign up" constituent_type="Care Home" ] -- javascript is here-- Your details Organisation Name* Title* First Name* Last Name* Address Search Address Town County Postcode Phone Email* Payment details Amount I would like to give each month* £ Sort Code* - - Account Number* I would like to donate* Monthly Quarterly Annually Comments Gift Aid Yes I would like you to claim Gift Aid on my donation I want all donations I've made to you in the past four years and all donations in future to be treated as Gift Aid donations until I notify you otherwise. 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. We will claim 25p on every £1 you donate. I would like to be kept up to date with your projects and activities by the methods I choose below Email Post Sms Phone There is a problem with your payment - Please wait ...