Lifetime Gift Membership

Please complete the form below to give the gift of lifetime membership.

Additional donation

£ 500.00

Other Amount

Other Amount £

Total Amount

Recipient's Details

Gift

Select an option to reveal honoree information fields.

Please fill in the details for the person you are purchasing gift membership for.

Title *

First Name *

Last Name *

Email *

Address Line 1

Address Line 2

Address Line 3

Town/City

Country

County/State

Post Code

Your details

Please fill in your details.

Title

First Name *

Last Name *

Email *

Address Line 1 *

Address Line 2

Address Line 3

Town/City *

Country *

County/State

Post Code *

Landline No

Mobile

Communication preferences

Your support is vital to our success. We would like to keep you informed about crucial population issues, as well as ways you can get involved, our events, what we are achieving, and other ways you can support the charity. We promise that your details will not be used by any other organisations to contact you.

I am happy for Population Matters to contact me by:

Email *

Yes

Post *

Yes

How did you hear about us?

Further detail

Please use this box if you wish to provide further details on how you heard about us e.g. specific advert/event/person.

Gift details

All gift memberships include a welcome email (which will be sent to the recipient on the start date) and can also include a welcome pack by post. This includes a letter, gift certificate, our latest magazine and other campaign materials. We can post it to you or direct to the recipient. Please note we are a small team and so cannot guarantee postal delivery dates for/on membership start dates.

Preferred membership start date *

Would you like a postal welcome pack? *

Yes

If yes, where would you like us to post the pack?

To myself

To the recipient

We operate a refund and cancellation policy. If you wish to stop receiving communications from us at any time, wish to cancel payment, or have queries or concerns, please email supporters@populationmatters.org or phone 020 8123 9116.

By continuing you confirm that you have read and understood our privacy policy.