Donations

Name

First Last

Address

Street Address Address Line 2 Town / City County / State / Region Post Code Country

Email

Phone

Amount donated:

- by cheque: £

- by direct transfer: £

- if by direct transfer, please give the name of your bank account so we can identify your donation on our bank statement:

Bank account details:
- account name: The Potential Trust
- account number: 69342865
- sort code: 60-21-21

Many thanks for whatever you can donate.

CAPTCHA

Email

This field is for validation purposes and should be left unchanged.

Amount donated:

(Charity No 326645)