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""Make a donation

You can give a donation to Disability Alliance by printing this form and sending it to:

Disability Alliance, Universal House, 88-94 Wentworth Street, London, E1 7SA

Print this form

I would like to make a donation of £_______

Title:

First name:

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I enclose a cheque made payable to 'Disability Alliance' - YES/NO.

Alternatively you can pay directly into our bank account:

Account number - 34098402
Sort code - 60-07-26

I would like to donate using my Visa / Access / MasterCard / Switch / Maestro/ Delta - YES/NO.

My card number is: _______________________________

Expiry date:

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Your name as it appears on your card: ___________________

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Date:

Gift Aid Donations

We are grateful to all who support our work through donations and are now able to increase the value of your donation by claiming tax back from the Inland Revenue under the Gift Aid Scheme.

If you are a tax payer and have paid income/capital gains tax (during the tax year in which the donation is made), equal to or greater than the amount we can reclaim - then your gift is eligible under this scheme. A donation of £10 would become worth £12.82!

I would like Disability Alliance to treat this donation as a Gift Aid donation - YES/NO.

Date ........../........../.......... (please fill in today's date)

Keep up to date with what we are doing

As well as producing the Disability Rights Handbook Disability Alliance is a campaigning and research organisation. If you wish we can keep you informed about future publications, campaigns and other events.

I would like to be informed in future about the work you are doing - YES/NO.

Thank you for making this donation and supporting our work.

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