EmailMe Form - Start a regular gift

Giving by Direct Debit/Standing Order

Making a regular gift through a paperless Direct Debit is the most efficient way to donate to the Uganda Red Cross Society. It keeps our costs to a minimum whilst ensuring that we have a reliable source of income to fund long-term projects. Please complete this short, one-page form to start your regular gift to the Uganda Red Cross Society.

Title

Title

Name *

First Last

Your supporter reference number (if known)

Your full address

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Your Contact Details

**Please only give us your mobile phone number if you are happy for us to contact you by SMS.
**We need your email address to confirm your donation, but will only contact you this way if you opt for this in the 'how to contact you field'.

Home phone number

Mobile phone number

Email *

How we contact you

We won't pass your details on to other organisations for marketing purposes unless they're working on our behalf. Thank you for your support!

We would very much like to send you updates about our work by email, if you are happy to hear from us this way then please tick this box.

We would also like to update you on how your support is helping by phone and by post, if you don't wish to hear from us in this way then please tick this box.

Your donation

We must allow a minimum of 10 working days to set up your direct debit. If the first payment selected cannot be met, then your direct debit will be set up to commence on the same day the month following.

The details of your Direct Debit Instruction will be sent to you as soon as possible no later than 10 working days before the first collection.

I would like to make a donation of *

I would like to give *

Please take my first gift on *

MM / DD / YYYY

Your bank account details

In order to set up a Direct Debit instruction online, you must be the account holder of a personal bank or building society account. If you are not the only required signatory on your account or you would rather send us a paper version, please download a 'Postal donation form' from the previous page, fill it out and post it back to us.

Name of Bank *

Name of Account Holder *

Bank account number *

Branch *

Your donation details

The details of your Direct Debit Instruction will be sent to you as soon as possible no later than 10 working days before the first collection.

You will receive an email confirming your direct debit. Please check this box if you require an additional copy by post.

Reasons for giving

This is important for us to be able to measure the effectiveness of our fundraising.

Please tell us why you are making this donation *