Pledge form

Thank you for supporting Christopher Place.
Once you have submitted this pledge form, we will contact you to ask you to send us your donation.
Thank you for your generosity.

Donor Information*
Address*
Tel*
Email*

If making a donation in honour of someone else we would like to acknowledge it. We will only use this information for the purpose of acknowledging the pledge. Please add their details here.

First Name
Last Name
Address
Email
Pledge amount*
I would like my pledge to go to
Comments or questions (or donations in kind)
If you would like to be kept informed of future events organised by Christopher Place please tick here
If you would prefer not to be contacted in the future, please tick here