Please complete this form.  Fields marked with an asterisk must be filled in.

Gift Information

Donation Amount*
  • £10
  • £50
  • £100
  • Other £
Please select how you would like your donation to be allocated*
  • Where most needed
  • Literature
  • Preaching
  • Scholars
Please tick if you would like to receive monthly news of our work by email
  • LPUKI eNews
Tick if you would like to receive our twice-yearly Transform Magazine by post
  • Transform

Contact Information

State / Province*
Confirm Email*

Gift Aid and Credit Card Information

Please tick the box on left if you allow us to reclaim Gift Aid on your donations. Please reclaim Gift Aid on all my donations so that each £1 is worth an extra 25p to The Langham Partnership (UK and Ireland). 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*