Resources order form Resources Order Page 1 - Order Details Title (Mr, Mrs, Dr etc) Please select... Mr Ms Mrs Miss Baroness Councillor Dame Dr Father H.E. Imam Lady Lord Professor Rabbi Rev Rt Hon Sir Other Title (Other) First name Surname Job Title Organisation Name Address Address line 2 Address line 3 Town Postcode Email address Telephone number (optional) ResourcesPlease provide the quantity of your order below. As we are struggling with rising production and postage costs, please consider making a donation on the next page to support our work. To order larger numbers of resources please email [email protected] Please note that any orders that are submitted after Tuesday 23 January 4pm will not arrive in time for an HMD Activity on 27 January. Quantity needed About HMD booklets (boxes of 50). You can also download these booklets from our website: https://www.hmd.org.uk/resource/about-hmd-booklets/Please select... 1 2 3 If you require the About HMD Booklets in Welsh please check this boxWelsh version needed Pin badges (up to 3)Please select... 1 2 3 HMD stickers - OUT OF STOCK (16 per sheet)Please select... 1 sheet (16 stickers) 2 sheets (32 stickers) 3 sheets (48 stickers) 7 sheets (112 stickers) 32 sheets (512 stickers) 63 sheets (1,008 stickers) Candles - OUT OF STOCK (available in multiples of 1, 3 or 5)Please select... OUT OF STOCK OUT OF STOCK OUT OF STOCK OUT OF STOCK Candle Costs (if applicable) This includes the cost of postage and candle and it will arrive in a branded HMD box £ In order to fulfill your order we need your permission to store and process your data, and to share the information you have provided with third parties delivering our resources. The information you provide will be processed in accordance with our privacy policy.I consent 1 Candle Price 3 Candle Price 5 Candle Price Page 2 - Donation Will you donate today to support our work? Your donation will enable more people like you to get free HMD resource so that every community can meaningfully mark Holocaust Memorial Day. Together we can learn more form the past, to create a better future. £5 To make a support call to a workplace to help plan their HMD activity£10 To digitalise a document from the Holocaust to enhance our learning and understanding£25 To share HMD lesson plans with a teacher£50 To support a prison officer to mark HMD with in-mates in a prison£100 To provide transport for Holocaust survivors to attend the national UK HMD Ceremony One-off donation £5 £10 £25 £50 £100 Other amount Other amount - One-off £ Add Gift Aid and boost your donation at no extra cost 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. Find out more about Gift Aid.YesNo Please read and confirm the following statements:This is my own money. I am not paying in donations made by a third party, e.g. money collected at an event, the pub, a company donation or a donation from a friend or family member. This donation is not made as part of a sweepstake, raffle or lottery and I am not receiving anything in return of it, e.g. book, auction prize, ticket to an event. Page 3 - Payment Details Candle Amount £ Donation Amount £ Total £ Payment Information Name on Card Card Number MM YY Code Billing Email reCAPTCHA helps prevent automated form spam. The submit button will be disabled until you complete the CAPTCHA. Contact Information