British ORT

Donations

The demand for the services ORT provides around the world is continually growing. With your generous support we can maintain our commitment to the many hundreds of thousands of students whom we help every year and even more by expanding our activities.

---

Once you have provided us with these details, you will be forwarded to our payment provider, Protx. The amount you will be required to pay will depend on your age. Title: * First name: * Last name: * Company: Address 1: * Address 2: Address 3: City: * County: Postcode: * Country: United Kingdom USA Canada Germany France ------- Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia Botswana Bouvet Island Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Cape Verde Cayman Isles African Rep Chad Chile China Christmas Isles Cocoa Islands Colombia Comoros Congo Cook Islands Costa Rica Cote Divoire Croatia Cuba Cyprus Czech Rep Denmark Djibouti Dominica Dominican Rep East Timor Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Falkland Isles Faroe Islands Fiji Finland France French Guiana F Polynesia French Sth Terr Gabon Gambia Georgia Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea Kuwait Kyrgyzstan Lao Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Isles Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands N'lands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Norway Oman Pakistan Palau Panama P New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Kitts Saint Lucia Samoa San Marino Sao Tome Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Isles Somalia South Africa Spain Sri Lanka St. Helena St. Pierre Sudan Suriname Swaziland Sweden Switzerland Syrian Arab Rep Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad &Tobago Tunisia Turkey Turkmenistan Turks & Caicos Tuvalu Uganda Ukraine UAE Uruguay Uzbekistan Vanuatu Vatican City Venezuela Viet Nam Virgin Islands Western Sahara Yeman Yugoslavia Zaire Zambia Zimbabwe Not Listed * Tel. no.: * E-mail: * email receipt Date of birth: 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 1900 * Donation (£): *   All fields marked with a * are mandatory   Gift Aid Declaration   The value of your donation will be increased by 28%, if you sign this Gift Aid Declaration allowing British ORT to reclaim income tax at the basic rate on your gift. You must have paid tax at least equal to the amount that the charity reclaims on your donations in the tax year.   I would like British ORT to treat as Gift Aid all donations made by me since 6 April 2000 until further notice Tick this box if you do not wish to receive further news and information from ORT.