Farwa Kazmi

Select amount to donate

£10

£15

£25

Donate

All payments are secure & encrypted

Personal Donation Company Donation

First Name*

Last Name*

Email Address*

Postal Address

Address Line 1 *

Address Line 2

Town/City *

Postcode *

County

Country *

We would like to contact you from time to time to keep you informed of Mental Health UK fundraising activities and appeals. We will not share your data and you can unsubscribe at any time.

Yes No

Leave a Message (Optional)

Name to appear on page (Optional)

I'd like to remain anonymous to the fundraiser

All payments are secure & encrypted

Credit Card

Name on Card *

Card Number *

Card Expiry *

CVV Number * Donation

Cover platform costs

Total amount

Gift Aid Yes, I am a UK taxpayer. Please treat all donations as Gift Aid donations. I 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.