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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

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

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). 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 in that tax year it is my responsibility to pay any difference. You must notify us if you want to cancel this declaration, change your name or home address, or no longer pay sufficient tax on your income and/or capital gains.
Amount*
£
Name on Card*
Card Number*