Donation PLEDGE/DONATION REGISTER London Ayyappan Temple Project First Name * Surname * Telephone * Email Address * Home Address * Pledge Amount * Select an amount £10,000 £7,500 £5,000 £2,500 £1,000 Other Amount (please specify below) How will you be making the contribution * Select method One-Off Payment - Bank Transfer One-Off Payment - Card Payment Direct Debit - Monthly (12 months installments) Please treat my donation as a Gift Aid donation * Select Yes No Consent Statement * I make this pledge with full consent and I commit to fulfilling the contribution I have promised. I understand that the temple may make financial commitments based on pledged but unpaid contributions and that failing to honour my pledge could have a detrimental impact on the project. I agree to the above statement Submit Pledge and Proceed to Donation
