Stroke Rehabilitation Robotics appeal - Single gift - Leeds Alumni Online

Please fill out your details below to make a gift. Thank you for your support.

If you would like to set up a regular gift please click here.

If you are visiting from the United States, you can donate tax-effectively here.

Otherwise simply fill in the form below to help fund Stroke Rehabilitation Robotics at Leeds today.

Your Donation

Amount:

I'd like to give:

£ 30.00

I'd like to give:

£ 50.00

I'd like to give:

£ 75.00

I'd like to give:

£ 100.00

I'd like to give:

£ 500.00

My choice of:

Designation:

Gift Aid (for UK taxpayers):

I would like University of Leeds to reclaim tax on all donations I have made for this tax year and the four years prior to the year of this declaration, (but no earlier than 6/4/2000) and all donations I make from the date of this declaration until I notify you otherwise, as Gift Aid donations. What is Gift Aid?

How Did You Hear About Our Site:

Your details

(fields marked with a * are compulsory)

Title:

First name:

Surname:

Country:

Postcode:

Address lines:

City:

County:

Phone:

Email (for payment confirmation):

Payment Information

(fields marked with a * are compulsory)

Cardholder's Name:

Card Number:

Card Type:

Valid From:

/	(Maestro/Switch/Solo only)

Card Expiry:

Issue Number:

(Maestro/Switch/Solo only)

Card Security Code:

Note: The Card Security Code is not required for Maestro, Switch and Solo cards.

The University of Leeds is registered with the Fundraising Regulator. To find out more about our Fundraising Promise and how we use your data please click here.