Chase Saca

My Activity Tracking

316
mi

My target 87 mi

I'm fundraising for EMpower.

making an impact; one mile at a time!

Select amount to donate

$50

$100

$250

$500

I'd like to make this donation

Once
Monthly

Donate

All donations in USD

Personal Donation Company Donation

First Name*

Last Name*

Email Address*

Mobile *

Postal Address (enter manually)

Address Line 1 *

Address Line 2

Town/City *

Postcode *

County

Country *

EMpower will only contact you if you have given us your express permission to keep in touch. From time to time, we will email you about EMpower events, opportunities, and general communications about our work. Your details will only be used by EMpower; we will never sell or share your information to 3rd parties. You may contact us to opt out at any time. If you consent to sharing your details with us, please tick this box to confirm

Yes No

Leave a Message (Optional)

Name to appear on page (Optional)

I'd like to remain anonymous to the fundraiser

EFT

Credit Card

Name on Card *

Card Number *

Card Expiry *

CVV Number * Donation

I'd like to add a little extra to help cover fees.

Gift Aid Yes, I am a UK taxpayer and have provided an accurate UK address. Please treat all donations as Gift Aid donations. 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 note that in order to be able to claim Gift Aid, EMpower will need your address to confirm your taxpayer status.