My donation

I am making a regular monthly donation of

£

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

Please turn every £8 you donate into £10 at no extra cost to you

Yes, I am happy for all gifts of money that I have made to Alzheimer's Society in the past four years and all future gifts of money that I make to be Gift Aid donations. Alzheimer’s Society will reclaim 25p of tax on every £1 I give.

I am a UK taxpayer and understand that if I pay less Income Tax and 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. Gift Aid is reclaimed by Alzheimer’s Society from the tax I pay for the current tax year. Alzheimer’s Society will reclaim 25p of tax on every £1 I give. If you change your name, address or tax status, do let us know.