My donation is Please choose an option from sponsorship or events a general donation in memory of someone in celebration of a special occasion
What motivated you to support us today?
How was the money raised? Jog 30 miles in June Purple Day Bradford 10K Brighton Marathon London Marathon Edinburgh Marathons London 10K Ride London Great North Run Bournemouth Marathons Royal Parks London Landmarks Other
Which event did you take part in?
Please tick if you are sponsoring someone else
Please give the full name of the person you are sponsoring
Please tick if your fundraising was in memory of someone
Who was it in memory of?
Who is your donation in memory of?
What is their relationship to you? (My mum or friend for example)
Type of celebration? Please choose an option Wedding Birthday Anniversary Other
Type of celebration
Name of the person/people celebrating
We can only collect Gift Aid from donations made by individuals. If you are paying in money from a collection, please leave the Gift Aid box blank
We can only collect Gift Aid from donations made by individuals. If you have raised money through sponsorship or fundraising, please send us your sponsorship forms so we can claim the additional Gift Aid.
Please tick the box below if you’d like to Gift Aid your donation.
Email
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None of these methods
Ways Epilepsy Action can help me
Ways I can help people affected by epilepsy
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Epilepsy Action will never swap, share or sell your details. For more information, read our privacy policy. You can update your preferences at any time by contacting our supporter care team on 0113 210 8810 or emailing supportercare@epilepsy.org.uk
