Your Gift

Donation Amount*
  • £25
  • £50
  • £100
  • £200
  • £250
  • Other £

Contact Information

Country*
State / Province*
Address*
City*
*
*
*
*
*
*
Email*
Confirm Email*
Phone*

How May We Contact You?

Mailing Status
  • No thank you, please do not contact me by post
  • No thank you, please do not contact me by telephone
  • Yes please, I’d like to hear from you by email
  • Yes please, I’d like to hear from you by text message or MMS

Payment Information

Yes, I want to Gift Aid my donation and any donations I make in the future or have made in the past 4 years to House on the Rock. 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 to charities and CASCs in the current tax year, it is my responsibility to pay any difference. Please let us know if you want to cancel the declaration, change your name and/or address or no longer pay sufficient tax on your income and/or capital gains
Amount*
£
Name on Card*
Card Number*
Additional Comments

Security Code