Donation Information

(Note that items marked * are required.)

Donation Amount*
  • £10 (could fund resources for a social evening)
  • £25 (could buy new equipment for cookery sessions)
  • £50 (could fund a leader for a day trip)
  • Other £
Please tick this box if you do NOT wish to receive an acknowledgement:
  • Do Not Acknowledge

We will write to thank you for your support today unless you have told us not to.  But we need your permission to ask if we may write to contact you again in the future.  Please tell us whether you would like to hear from us, what about and how by completing the boxes below.  Thank you!

Yes, I would like to keep in touch with Reach.  Please contact me about:

May we contact you again in the future? Please tell us what you'd like to hear about below (please select at least one):*
  • Information events for our supporters (eg Open Days)
  • Leaving a legacy to Reach
  • Making a regular gift
  • Mansfield 10k (our annual 10k run through Mansfield town centre)
  • Opportunities to volunteer
  • Other Fundraising Appeals - eg for special projects
  • Our Annual Report & Accounts
  • Our Christmas Fundraising Appeal
  • Our Local fundraising events
  • Our Supporter Newsletter (about every two months)
  • Robin Hood Lottery (Mansfield DC lottery for local charities)
  • None of the above

Information is stored electronically and in compliance with current UK regulations regarding data protection and fundraising. We do not share our data with other organisations. 


If you are a Reach supporter we may need to contact you regarding administrative matters – eg processing Gift Aid, training for volunteers etc.

I am happy to be contacted via:

  • Opt-in
  • Opt-out
  • Opt-in
  • Opt-out
  • Opt-in
  • Opt-out
Text message*
  • Opt-in
  • Opt-out

Prefer not to hear from us?

Please note, this selection will override any made above and you will not hear from us again unless you are a Reach supporter.
  • Opt Out of All Future Communications

Your privacy is extremely important to us. Please click here to read our Privacy Policy.


Please contact or call on 01636 819066 if you have any questions about any of the above. Thank you!

Donor Information

State / Province*
Confirm Email*


Payment Information

Yes, reclaim Gift Aid on all my donations so that each £1 is worth an extra 25p to Reach Learning Disability. This declaration is valid for the current tax year (6 April to 5 April), the previous four tax years and all future years. I confirm I have paid or will pay an amount of Income Tax and/or Capital Gains Tax for the year of a donation that is at least equal to the amount of tax that all the charities and Community Amateur Sports Clubs (CASCs) that I donate to will reclaim on my gifts for the current tax year. I understand that other taxes such as VAT and Council Tax do not qualify.
Name on Card*
Card Number*
Additional Comments
Powered by eTapestry.