Positive Life

ticket
registration
merchandise
review
confirmation

Positive Life Shop

24 November 2023 - 24 November 2024

20 Derryvolgie Avenue, Belfast, BT9 6FN

My Details

First Name *

Last Name *

Date Of Birth *

Gender *

Male Female *

My Contact Details

Email *

Phone Number *

My Address

Address Line One *

Address Line Two

Town/City *

County

Postcode *

Country *

Postal Details

Donations

Our ribbons are FREE You will only be asked to cover the cost of postage. Please also consider making a donation.

Choose an amount:

�5

�10

�15

�20

Other (�)

No Donation

Gift Aid Declaration:

* I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax in the current tax year than the amount of Gift Aid claimed on all my donations it is my responsibility to pay any difference.

NI Postage *

NI Postage � 2.99 additional charge