Holocaust Memorial Day Trust | Candles order form

Page 1 - Order Details

Title (Mr, Mrs, Dr etc)

Title (Other)

First name

Surname

Organisation Name

Address

Address line 2

Address line 3

Town

Postcode

Email address

Telephone number (optional)

Candles

Please place your order by 4pm on Monday 20 January to guarantee that you receive your candle in time for Light the Darkness at 8pm on 27 January for Holocaust Memorial Day

Quantity needed

Candles (available in multiples of 1, 3 or 5) 1 x candle costs £8 3 x Candles cost £20 5 x candles cost £25

Candle Costs (if applicable) This includes the cost of postage and candle and it will arrive in a branded HMD box

£

Our candles are packaged and distributed for us by Watford Workshop, a charity providing employment for disabled people, with whom we have worked for a number of years.

In order to fulfill your order we need your permission to store and process your data, and to share the information you have provided with third parties delivering our resources. The information you provide will be processed in accordance with our privacy policy.

I consent

1 Candle Price

3 Candle Price

5 Candle Price

Page 2 - Donation

Will you donate today to support our work? Your donation will enable more people like you to get free HMD resource so that every community can meaningfully mark Holocaust Memorial Day. Together we can learn more form the past, to create a better future.

£5 Covering postage and packing for free Holocaust Memorial Day (HMD) stickers to a school to wear at their HMD activity

£10 Providing guidance and materials to a workplace for their HMD activity

£25 Supporting a teacher with HMD lesson plans for their school HMD activity

£50 Assisting a prison officer with educational materials for marking HMD with prisoners in a prison

£100 Providing transport for one Holocaust survivor to attend the national UK HMD Ceremony

Other amount - One-off

£

Add Gift Aid and boost your donation at no extra cost I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax in the current tax year than the amount of Gift Aid claimed on all my donations, it is my responsibility to pay any difference. Find out more about Gift Aid.

YesNo

Please read and confirm the following statements:

This is my own money. I am not paying in donations made by a third party, e.g. money collected at an event, the pub, a company donation or a donation from a friend or family member. This donation is not made as part of a sweepstake, raffle or lottery and I am not receiving anything in return of it, e.g. book, auction prize, ticket to an event.

Page 3 - Payment Details

Candle Amount

£

Donation Amount

£

Total

£

Payment Information

Name on Card

Card Number

MM

YY

Code

Billing Email

Resources Order

Page 1 - Order Details

Our candles are packaged and distributed for us by Watford Workshop, a charity providing employment for disabled people, with whom we have worked for a number of years.

Page 2 - Donation

Page 3 - Payment Details