"*" indicates required fields 1Amount2Purpose3Details4Gift Aid5Payment Thank you for considering donating to the Scargill Movement! You can either donate securely online using this form, or let us know if you’d rather make a bank transfer or send a cheque, and we will give you the appropriate details.Gift detailsI'd like to give this amount:* I'd like this to be:* a one-off gift a monthly gift a quarterly gift a half-yearly gift a yearly (annual) gift I'd like to pay by:* bank transfer standing order cheque Please use these details for our account with Barclays Bank, Skipton: Account Name: Scargill Movement – Sort Code: 20-78-42 – Account Number: 33810402. Please use your initial and surname as a bank payment reference.Please make cheques payable to “Scargill Movement” and post to Scargill House, Kettlewell, Skipton, North Yorkshire BD23 5HU. How should Scargill Movement use your gift?* General (we will use your gift where it’s most needed) Bursary (to give someone the chance to visit Scargill when they would otherwise not be able to afford to come) Building development (to contribute to our exciting plans for making the buildings better for visitors and kinder to the environment) Other Your detailsYour full name* First name Surname Address* Address line 1 Address line 2 (optional) City or town Postcode Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Email address* Phone number (optional) Gift AidDeclarationI 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. I will notify Scargill Movement if I want to cancel this declaration, change my name or home address, or no longer pay sufficient tax on my income and/or capital gains. I would like to Gift Aid to Scargill Movement this gift I would like to Gift Aid to Scargill Movement all my gifts made in the last 4 years I would like to Gift Aid to Scargill Movement all gifts I make in future until I notify otherwise If you pay Income Tax at the higher or additional rate and want to receive the additional tax relief due to you, you must include all your Gift Aid donations on your Self-Assessment tax return or ask HM Revenue and Customs to adjust your tax code. Communication preferencesShall we keep in touch?Your details will be stored securely by Scargill Movement in line with our privacy policy, and only used to send you Scargill information. You can opt out at any time. Post me programmes and newsletters a few times a year Email me programmes, newsletters and offers from time to time
