Pledge Form

Thank you for donating to our thoughtfully selected projects at City for LGBT+: Protecting our Communities.

Event Name

Event Date

Your Details

First name

Surname

Company or Trust (if relevant)

Did you attend the event?

Yes, I attended in-personYes, I joined onlineNo, I did not attend but I'd like to support the charities

Would you like to receive updates from GiveOut?

Yes, please add me to Give Out's mailing listNo, thank you

Would you like to receive updates and invitations to future crowdfunding events from The Funding Network?

Yes, please add me to TFN's mailing listNo, thank you

Please complete the table below with the amount you have pledged to each organisation and make payment using the options below.

If you would like to be connected with any of the charities to offer non-financial assistance (such as pro-bono support or volunteering) or to be added to their mailing list, please tick the relevant box.

	Mailing list	Non-financial assistance
National Gay & Lesbian Human Rights Commission (NGLHRC)	YesNo	YesNo
LGBT+ Consortium	YesNo	YesNo
Equal Rights Association (ERA)	YesNo	YesNo

Total Pledged Amount (£)

Through the Government’s Gift Aid scheme, The Funding Network can claim an additional 25p for every £1 you donate. So if you are a UK taxpayer, you can increase the value of your donations by 25%, at no extra cost to yourself!

I am a UK tax payer and want to Gift Aid my donation and any future donations (this adds 25% to the value of your donation)

YesNoI understand that if I pay less Income Tax/Capital Gains Tax than the amount of Gift Aid claimed on my donations in that tax year, it is my responsibility to pay any difference. I also understand that it is my responsibility to notify TFN if I change my name, address, or want to cancel this declaration.

Home Address

Please enter your home address details. Without this, we cannot claim Gift Aid on your donation.

Address Line 1

Address Line 2

Town/City

Postcode

Country

How to Pay

Please make a single payment to cover the total amount you pledged. TFN will allocate your donation to the charities according to the instructions on this form.

To help reduce the costs of our small charity, when possible please pay by bank transfer

Online Card PaymentBank TransferOther

Credit Card Details

Name on Card

Credit Card No.

Expiry Month

Expiry Year

CVC

Online card payments are transacted via Stripe, a processing platform which keeps your details secure. TFN does not store your card details.

Billing Address

This is required for your Credit/Debit Card payment.

Please enter your address

Address Line 1

Address Line 2

Town/City

Postcode

Country

Please confirm you have read and understood TFN's Terms and Conditions which are linked here.

I have read and understood the Terms and Conditions

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The Funding Network is a small charity that connects thoughtful individual and coporate donors, like you to small brilliant charities through live-crowding funding events.

At these events a levy (5%) is deducted on funds raised on the night to help us to continue supporting impactful charities just like the ones above.

Registered Charity Number: 1088315