Event Registration

Ending homelessness together in Wales: a rapid rehousing response

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Which tier?

{{opt.label}} (£{{opt.price}} per person)

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Are you over 0

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Date of birth

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Organisation information

Attendee information

{{attendeeDetails[$index].firstName || 'Attendee '+ ($index +1)}} {{attendeeDetails[$index].lastName}} (Primary)

When is the fundraising event taking place? {{ customEventDateIsRequired ? '*' : '' }}

If you know when the event is taking place please fill in the date below:

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Add an additional donation?

I am a UK taxpayer and I confirm that this is my own personal donation* and not from a company nor the proceeds of a collection. I would like Crisis to treat this donation and any donations I make in the future and have made in the past 4 years as Gift Aid donations, until I notify you otherwise. With this declaration, Crisis can reclaim 25p of tax on every £1 that I give. I understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year, it is my responsibility to pay any difference.

Please remember we need your full name and home address to allow us to claim Gift Aid.

* A personal donation is from one individual and not a collection.

Cardholder information

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Total: £{{totalCost}}