Donation Amount*
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  • €250
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  • Other €

Your Details

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Contact Preferences

We’d like to keep you updated about our work, including our fundraising activities. Please let us know if you are happy to be contacted. We manage data in accordance with data protection laws. We won’t share or sell your details with any organisation for use in their communications. You can find out more about how we will use your data in our Privacy Policy.


Yopu can tell us how you would like to be contacted by selecting from the options below.


By eMail*
  • Yes
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By Phone*
  • Yes
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By Post*
  • Yes
  • No

Payment Information

Payment Type
We only accept credit/debit card payments. After you complete this form, select Submit to enter your card details into our secure transaction processor. Your submission will be processed when you finalize your secure payment information.
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