Donation and Purchase Form

Product Name

Donation
Make a payment

This field is hidden when viewing the form

Product Price (internal)

Product Price

Donation Amount(Required)

Please enter an amount from £1 to £5000.

This field is hidden when viewing the form

Product Price + Donation (internal)

Donation/Payment Frequency

Please specify when you would like the first payment to be processed. Payments will then occur regularly from that date until you cancel this arrangement.(Required)

Title(Required)

Name(Required)

First Last

Address Line 1:(Required)

Address Line 2:

City:(Required)

Postcode:(Required)

Country:(Required)

Email(Required)

Enter Email Confirm Email

Please notify the Institute of Welsh Affairs if you:
- Want to cancel this declaration
- Change your name or address
- No longer pay sufficient tax on your income and/or capital gains
If you pay Income Tax at a higher or additional rate and want to receive the additional relief due to you, you must include all your Gift Aid donations on your Self Assessment tax return or ask HM Revenue and Customs to adjust your tax code.

Please click Submit and wait a few seconds, you will be taken to a payment page to complete the transaction.

Sign up for our newsletter

Our Work

The IWA