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I/we would like to pledge £1,000

I/we would like to pledge £500

I/we would like to pledge £100

I/we would like to pledge another amount

I/we would like to become a regular supporter and set up a monthly Direct Debit to ensure the long-term viability of the Emma Gladstone Award

Name *

First Name

Last Name

Phone *

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I am resident and a taxpayer in the UK and would be happy for the Emma Gladstone Award to claim Gift Aid on my donation.