[bl_wag_donorfy min_amount="5" tags="Engagement_FriendofWag" pin_badge="1" activity_type="Friend of Wag sign up" constituent_type="Individual" campaign="Friends of Wag"] Your details Title* First Name* Last Name* Address Search Address* Town* County Postcode* Country* Holland Germany France United Kingdom Italy Spain Phone Email* Payment details Amount I would like to give each month* £ Gift Wag & Company Pin badge Yes, I would like a Wag & Company pin badge Sort Code* -- Account Number* I would like to donate* MonthlyQuarterlyAnnually 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. Keep in touch Recurring donations will continue to be made until you either cancel them with your bank or by email or telephone with us. By clicking set up direct debit you’re confirming that you’ve read and agreed with our terms & conditions. I would like to be kept up to date by email with information on your projects and activities. There is a problem with your payment - Please wait ...