Donate Form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.TitleMrMrsMsDrName *FirstLastAddress *Address & EmailPost Code: *Email: *Bank/Building Society name: *Bank DetaulsBank Address: *Bank Postcode: *Account Number: *Sort Code: *LayoutPlease pay The Medina PartnershipAmount *every month until further notice.Notes:1. A statement below the form that has a tick box to give donors the opportunity to declare their willingness to contribute to gift aid if they’re UK tax payers. 2. Please make your payment to: Barclays Bank. To Account name: The Medina Partnership Account No: 90369810 Sort Code: 20-09-72 CheckboxesI understand Submit
