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1. Name

*Required fields

Title*

Please add your title

First name*

Please enter your first name

Last name*

Please enter your last name

2. Address details

Address*

Please enter your address

Postcode*

Please enter your postcode

Country*

Please enter your country

Telephone

Please enter your telephone number

Email*

Please enter your email

An email address is required to confirm payment. A telephone number will help us if we need to contact you with any queries.

3. Membership number

If you are a supporter or member, it would be helpful, but not essential, if you could give your supporter or membership number - this is printed on your membership card or the response form of the last appeal we sent to you.

Membership No.

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4. Your donation. Please enter numbers only without a £ sign.

I would like to donate £*

Please enter your donation amount

5. Gift Aid

You can help us claim Gift Aid, adding an extra 25p to every £1 you give, at no extra cost to you. Simply tick one of the boxes below. Thank you!

In order for us to reclaim the tax you pay on your donation(s) or membership subscription you must have paid UK Income or Capital Gains Tax equal to the tax that will be reclaimed, currently 25p for each £1 you give.

I want CPRE to treat as Gift Aid all donation(s) or membership subscriptions I have made for the four years prior to this year and all donation(s) or membership subscriptions I make from today until I notify you otherwise.
This donation.
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6. Keeping you informed and data protection

Thank you for supporting our work. CPRE holds and manages data in strict accordance with the Data Protection Act (1998).

We would like to keep you informed of our future activities and appeals, but if you would prefer NOT to receive future communications, please tick this box.

Occasionally, other organisations with beliefs sympathetic to our own ask to write to our supporters. If you would prefer NOT to hear from them, please tick this box.Invalid Input

Paying online

After you have submitted the form, you will be taken to the payment page, where you will need to enter your credit or debit card details. Credit or debit cards accepted: VISA, Mastercard, Delta, Switch, SOLO, JCB and VISA Electron.

Security

Your payment will be processed securely by WorldPay plc.

Your satisfaction and refunds

Thank you for supporting CPRE. As a registered charity, we rely on donations and subscriptions for the majority of our income. While we do not normally refund donations or subscription payments, if an error has been made or you are not satisfied with the membership service CPRE has given, please contact us within 28 days and we will arrange for a refund to be made to your card.

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