Organisation Donations 2

Name*

First Last

Address*

Street Address Address Line 2 City ZIP / Postal Code Country

Name of organisation*

Job title

Phone

Email*

Number of employees*

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How much would you like to donate?*

£ 20.00
£ 30.00
£ 50.00
Other

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How much would you like to donate?*

£ 100.00
£ 150.00
£ 200.00
Other

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How much would you like to donate?*

£ 175.00
£ 250.00
£ 500.00
Other

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How much would you like to donate?*

£ 350.00
£ 500.00
£ 750.00
Other

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How much would you like to donate?*

£ 500.00
£ 1000.00
£ 1500.00
Other

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How much would you like to donate?*

£ 1000.00
£ 2000.00
£ 4500.00
Other

Other amount*

Total

£ 0.00

Do you have an existing Invoice Number?*

No
Yes

Enter your existing invoice number*

Let us know if you need an invoice or pro forma invoice number quoted.

How would you like to pay?*

PayPal/Debit card
BACS
Please can I have an invoice first

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BACS Payment

We will email you a confirmation along with a receipt. Thank you for your support

BACS payments to be made to;

Bank Account: Green Park Interim & Executive Ltd
Account number: 90159050
Sort Code: 40-11-60

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Invoice Request

We will email you a confirmation along with a invoice. Thank you for your support

Invoice address*

As above
Different address required for the invoice

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Invoice address

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

If different from the contact address

Accounts contact name (if different)

First Last

Accounts payable email (if different)

Accounts phone number (if different)

Purchase order number (if required)

Invoice description

Please amend if required

Is there anything else we need to know?

PayPal/Debit Card

We will email you a confirmation along with a receipt. Thank you for your support

Name

This field is for validation purposes and should be left unchanged.

Thank you for your interest in supporting Race Equality Matters