Your gift
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£ One-off
We will charge your card every month until you cancel this monthly donation.
£ Monthly
Personal details
* Personal Details
* Home Address
* Email
Your payment details
* Cardholder Name:
 (As printed on the card)
* Card Type:
* Card Number:
Expiry Date: / *
Security Code:
(the last 3 digits on the back of your card. show me)
Start Date: /
(optional: please add if printed on your card)

Cardholder Address
* Line 1:
Line 2:
Line 3:
* Town / City: * City:
County: State:
* Postcode: * Zip code:
Gift Aid
All schemes are eligible for Gift Aid.

Maxwell Church can reclaim the tax paid on this donation. Please remember that you must pay an amount of income tax and/or capital gains tax equal to the tax that is reclaimed for this donation.