Donation
Make your personal donation
Amount:
£
*
Frequency:
Weekly
Monthly
Quarterly
Annually
On:
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Starting:
Ending:
Ending:
Gift Aid:
I want to Gift Aid my donation and any donations I make in the future or have made in the past 4 years to Alzheimer Scotland - Action on Dementia. 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.
What is Gift Aid?
Donor
Title:
<Please select>
.
Dame
Dr
Her Honour
His Honour
Master
Miss
Mr
Mrs
Ms
Prof
Rev
Rt Hon
Sir
*
First name:
*
Surname:
*
Country:
United Kingdom
Australia
Austria
Bangladesh
Barbados
Belgium
Bermuda
Brazil
Brunei
Bulgaria
Canada
Channel Islands
China
Cyprus
Denmark
Finland
France
Germany
Ghana
Gibraltar
Greece
Iceland
India
Indonesia
Ireland
Israel
Italy
Japan
Luxemburg
Malaysia
Malta
Monaco
Netherlands
New Zealand
Norway
Oman
Pakistan
Poland
Portugal
Qatar
Romania
Singapore
Slovenia
South Africa
South Korea
Spain
Sweden
Switzerland
Thailand
United Arab Emirates
United States of America
Zimbabwe
Russia
*
Postcode:
*
Address lines:
*
City:
*
County:
Edinburgh, City of
Isle of Canna
Isle of Colonsay
Isle of Gigha
Aberdeenshire
Angus
Argyll
Argyllshire
Avon
Ayrshire
Banffshire
Bedfordshire
Berkshire
Berwickshire
Biggar
Buckinghamshire
Caithness
Cambridgeshire
Cavan
Channel Islands
Cheshire
City of Edinburgh
Clackmannanshire
Cleveland
Clwyd
Co. Cork
Co. Kilkenny
Co. Wicklow
Conwy
Cornwall
County Antrim
County Armagh
County Down
County Durham
County Fermanagh
County Londonderry
County Tyrone
Cumberland
Cumbria
Derbyshire
Devon
Dorset
Dumfriesshire
Dunbartonshire
Durham
Dyfed
East Ayrshire
East Dunbartonshire
East Lothian
East Renfrewshire
East Sussex
Edinburgh
England
Essex
Fife
Flintshire
Glamorgan
Glasgow City
Gloucestershire
Gwent
Gwynedd
Hampshire
Herefordshire
Hertfordshire
Highland
Inverclyde
Inverness Shire
Inverness-shire
Isle of Arran
Isle of Barra
Isle of Benbecula
Isle of Bute
Isle of Coll
Isle of Cumbrae
Isle of Harris
Isle of Iona
Isle of Islay
Isle of Jura
Isle of Lewis
Isle of Man
Isle of Mull
Isle of North Uist
Isle of Scalpay
Isle of Skye
Isle of South Uist
Isle of Tiree
Isle of Wight
Jersey
Kent
Kincardineshire
Kinross Shire
Kirkcudbrightshire
Lanarkshire
Lancashire
Leicestershire
Lincolnshire
London1
Mayo
Merseyside
Mid Glamorgan
Middlesex
Midlothian
Monmouthshire
Moray
Morayshire
Nairnshire
Norfolk
North Ayrshire
North Humberside
North Lanarkshire
North Somerset
North Wales
North Yorkshire
Northamptonshire
Northants
Northumberland
Nottinghamshire
Orkney
Outer Hebrides
Oxfordshire
Peeblesshire
Pembrokeshire
Perth and Kinross
Perthshire
Powys
Renfrewshire
Ross Shire
Ross-shire
Roxburghshire
Rutland
Scotland
Scottish Borders
Selkirkshire
Shetland
Shetland Islands
Shropshire
Somerset
South Ayrshire
South Glamorgan
South Gloucestershire
South Humberside
South Lanarkshire
South Wirral
South Yorkshire
Staffordshire
Stirling
Stirling and Clackmannanshire
Stirlingshire
Strathclyde
Suffolk
Surrey
Sussex
Sutherland
Tayside
Tyne And Wear
Warwickshire
West Dunbartonshire
West Glamorgan
West Lothian
West Midlands
West Sussex
West Yorkshire
Western Isles
Wigtownshire
Wiltshire
Worcestershire
Yorkshire
Glasgow
Loch Lomond
Overtown
Westhill
Dumfries and Galloway
Edinburgh City
Castle Douglas
Lanark
Lockerbie
Annans
Dundee City
London
Dumfries & Galloway
Falkirk
Aberdeen City
Renfrewshire,
East Lothian
Argyll and Bute
Inverness
Dundee
Greater London
Brighton
Hawick
Bracknell Forest
Aberdeen
Warrington
Orkney Islands
Strathcarron
Phone:
*
Email:
*