Donors FormComplete the form below confirming your donation, donors' wall name (if applicable) and approving Gift Aid Name * First Name Last Name Phone * Country (###) ### #### Email * Donation Amount £33 per month £83 per month Custom Donors' Wall Name If you donate the equivalent of £83 per month or make a one-time donation of £1,000, you are eligible to have one name displayed on the Donors' Wall of a mosque. Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Gift Aid * I am a UK taxpayer and would like to Gift Aid my donations now and in future. I understand I must pay enough income tax and/or capital gains tax each tax year to cover the amount of Gift Aid that all charities claim on my donations in that tax year, and I am responsible for paying any difference. Please remember to let us know if your tax status, name or address change or if you wish to cancel your Gift Aid declaration. Yes No Thank you!