My donation

I am making a regular monthly donation of

£

My donation is in memory of someone

My in memory donation

Please tell us more about the person you’re donating in memory of. We may use this information to tailor our communications with you. We will keep this information strictly confidential.

They are my…

Relationship -
other

Their first name

Their last name

My in memory donation

Please tell us more about the person you’re donating in memory of. We may use this information to tailor our communications with you. We will keep this information strictly confidential.

They are my…

Relationship -
other

Their first name

Their last name

My in celebration donation

Please tell us a bit more about your special occasion. We may use this information to tailor our communications with you. We will keep this information strictly confidential.

Special occasion

The special occasion - other

I am donating in celebration of:

First name

Last name

My relationship to this person is…

Relationship -
other

Gift Aid

Your £10 donation turns into £12.50 by adding Gift Aid!

Add 25p of Gift Aid for every £1 you give at no extra cost to you!

Yes, I am a UK Taxpayer and I want the Alzheimer’s Society to claim Gift Aid on my personal donations I make now, in the future and for the past 4 years. I understand that if I pay less Income Tax & Capital Gains Tax in the current tax year than the amount of Gift Aid claimed on all of my donations across all Charities, it is my responsibility to pay any difference.

I will update Alzheimer's Society if my address or tax circumstances change in the future. Alzheimer’s Society will reclaim 25p of tax on every £1 I give.