Thank you for doing something about homelessness. Your donation will make a huge difference to the lives of vulnerable homeless people in Wales

Donation Amount*
  • £5
  • £10
  • £25
  • £50
  • £100
  • Other £

Contact Information

Date of Birth
Country*
State / Province*
Address*
City*
*
*
*
*
*
*
Email*
Confirm Email*
Phone*

Your support helps us get people off the streets, keep people off the streets and create opportunities for people.

We would love to keep you updated with our latest news and information about how your support is making a difference.

I'm happy for you to contact me by:*
  • Post
  • Email
  • Phone
  • I'd rather you didn't contact me
About:
  • General News
  • Policy and Campaigns
  • Fundraising and Events

Our full Privacy Policy is available at  www.thewallich.com/privacy. If you have any questions or concerns about how your information will be used, please contact our team at supportercare@thewallich.net or 029 2066 8464.

Payment Information

By ticking this box I confirm that I am a UK Income or Capital Gains taxpayer. I have read this statement and want the charity named above to reclaim tax on the donation detailed below, given on the date shown. I understand that if I pay less Income Tax / or Capital Gains tax in the current tax year than the amount of Gift Aid claimed on all of my donations it is my responsibility to pay any difference. I understand the charity will reclaim 25p of tax on every £1 that I have given.
Amount*
£
Name on Card*
Card Number*
Additional Comments

Security Code

Share This Form

Powered by eTapestry.