My donation

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My donation is in memory of someone

My donation is in celebration of a special occasion

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

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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

My donation is...

a personal donation - my own money

money raised via a collection or sponsorship from an event

on behalf of a company, organisation or school

We're unable to claim Gift Aid on collections or other group donations

Company, organisation or school name

Gift Aid

Boost your donation by 25p of Gift Aid for every £1 you give!

Your £30 donation turns into £37.50 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.

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Secure Donations

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My details

Title

Title - other

First name

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Email address

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Phone number

Address

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Address line 1

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Please confirm if your correspondence address is also your billing address

Billing Address

Please enter the billing address.

Address line 1

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Town or city

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Keeping in touch

We can only win the fight against dementia through the passion and generosity of our valued supporters. We’d love to stay in touch and keep you updated about everything we’re doing, including fundraising, our campaigning work, services, research and volunteering. We will never sell your data on to third parties. Please let us know how you would like to keep up to date, thanks.

Yes, I’d like to stay in touch via email so I can keep up to date when it suits me

Yes, I’d like to stay in touch via social media so I can keep up to date when it suits me

Yes, I’d like to stay in touch via SMS so I can get updates straight to my mobile

Yes, I’d like to stay in touch via phone so I can hear from a real person

No contact via post, please

Finally…

To help us understand more about our generous supporters, can you let us know which of the following describes your connection to dementia? Please tick all that apply. This question is optional - it's ok to skip if you'd rather not tell us.

I have dementia

I am a family member or friend of someone with dementia

I was a family member or friend of someone who had dementia

I am a carer of someone with dementia

I used to be a carer of someone with dementia

I am a dementia professional

I am generally interested in dementia

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