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Amount details Contribution Amount £3.00 £5.00 £10.00 £20.00 £25.00 Other Amount Other Amount £ Total Amount Frequency I want to contribute this amount every month year Donation Details First Name * Last Name * Email * Address 1 * Address 2 Address 3 City Postcode * Country - select Country - United Kingdom Afghanistan Åland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Saint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo, Republic Of The Congo, The Democratic Republic of the Cook Islands Costa Rica Côte d’Ivoire Croatia Cuba Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of Korea, Republic of Kosovo Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Macedonia Northern Mariana Islands Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Barthélemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Serbia and Montenegro Seychelles Sierra Leone Singapore Sint Maarten (Dutch Part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania, United Republic of Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe What prompted you to give? (optional) Support us? Opt in! Yes No By opting in as a supporter of Humanists UK, you will help to strengthen our cause through the power of numbers. We’ll keep you updated on all areas of our charitable work, and you can opt out whenever you want.If you have previously signed up this will not unsubscribe you, but you can unsubscribe by clicking the link at the bottom of any email we send. See our privacy policy here. You should not continue with this form if any of the following apply: You are not the account holder. If it is a business account and more than one person is required to authorise debits on this account. Direct Debit Confirm * Please confirm that you are the account holder and the only person required to authorise Direct Debits from this account. Account Holder * Should be no more than 18 characters. Should not include punctuation (e.g. O'Callaghan should be OCallaghan). First initial and surname is valid. (e.g. D Watson). Bank Account Number * 8 digits (e.g. 12345678). Sort Code * 6 digits (e.g. 01 23 45). Agreement Your account data will be used to charge your bank account via direct debit. While submitting this form you agree to the charging of your bank account via direct debit. My billing address is the same as above Billing Name and Address Billing First Name * Billing Middle Name Billing Last Name * Street Address * City * Country * - select - United Kingdom Afghanistan Åland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Saint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo, Republic Of The Congo, The Democratic Republic of the Cook Islands Costa Rica Côte d’Ivoire Croatia Cuba Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of Korea, Republic of Kosovo Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Macedonia Northern Mariana Islands Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Barthélemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Serbia and Montenegro Seychelles Sierra Leone Singapore Sint Maarten (Dutch Part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania, United Republic of Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe State/Province - select State/Province - Aberdeen City Aberdeenshire Angus Antrim and Newtownabbey Ards and North Down Argyll and Bute Armagh City, Banbridge and Craigavon Bath and North East Somerset Bedfordshire Belfast Berkshire Blaenau Gwent Bridgend Bristol, City of Buckinghamshire Caerphilly Cambridgeshire Cardiff Carmarthenshire Causeway Coast and Glens Ceredigion Cheshire Clackmannanshire Clwyd Co Antrim Co Armagh Co Down Co Fermanagh Co Londonderry Co Tyrone Conwy Cornwall County Durham Cumbria Denbighshire Derbyshire Derry City and Strabane Devon Dorset Dumfries and Galloway Dundee City Dyfed East Ayrshire East Dunbartonshire East Lothian East Renfrewshire East Riding of Yorkshire East Sussex Edinburgh, City of Essex Falkirk Fermanagh and Omagh Fife Flintshire Glasgow City Gloucestershire Greater Manchester Gwent Gwynedd Hampshire Herefordshire Hertfordshire Highland Inverclyde Isle of Anglesey Isle of Wight Kent Lancashire Leicestershire Lincolnshire Lisburn and Castlereagh London Merseyside Merthyr Tydfil Mid and East Antrim Mid Glamorgan Mid Ulster Middlesex Midlothian Monmouthshire Moray Na h-Eileanan Siar Neath Port Talbot Newport Newry, Mourne and Down Norfolk North Ayrshire North Lanarkshire North Somerset North Yorkshire Northamptonshire Northumberland Nottinghamshire Oldham Omagh Orkney Islands Oxfordshire Pembrokeshire Perth and Kinross Powys Renfrewshire Rhondda, Cynon, Taff Rutland Scottish Borders Shetland Islands Shropshire Somerset South Ayrshire South Glamorgan South Gloucestershire South Lanarkshire South Yorkshire Staffordshire Stirling Stockton-on-Tees Suffolk Surrey Swansea Torfaen Tyne and Wear Vale of Glamorgan, The Warwickshire West Dunbartonshire West Glamorgan West Lothian West Midlands West Sussex West Yorkshire Wiltshire Worcestershire Wrexham Postal Code * Gift Aid Can we reclaim gift aid on your contribution? * Yes No Yes, in the Past 4 Years Using Gift Aid means we can claim an extra 25p for for every £1 of your contribution, at no cost to you. We can also claim on your historical contributions. This makes a big difference to us, so if you're a UK taxpayer and meet the below criteria please do consider it. By selecting 'Yes' above, you are agreeing to the below statement: I want to Gift Aid my donation and any donations I make in the future or have made in the past 4 years to the British Humanist Association. 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. Direct Debit Agreement Your account data will be used to charge your bank account via Direct Debit. By submitting this form you agree to this charging of your bank account via Direct Debit. Submit Sign up to Humanists UK emails Sign up as a supporter and we'll keep you up to date by email about all of our work for a fair and equal society. See our Privacy Policy. 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