THE ROTARY CLUB OF MEDWAY SUNLIGHT
PLEASE TICK
COLUMNBOAT
IF UK TAXPAYER
(SEE OVERLEAF)
SPONSORED
DRAGON
CHALLENGE
TH
28 MAY 2017 – CHATHAM MARITIME
IN AID OF ROTARY CHILDREN’S HOSPICE HOLIDAYS
AND OTHER ROTARY SUPPORTED CHARITIES
NAME___________________ADDRESS____________________________POSTCODE________
I am entering the Medway Sunlight Rotary Dragon Boat Challenge and would ask you to
sponsor me.
Completing the form with your signature, address/postcode and certification as a UK Tax Payer
allows the Rotary Club of Medway Sunlight Trust Fund to claim an additional 25% Gift Aid.
MANY THANKS FOR YOUR GENEROSITY
Fill in if
applicable
(I have chosen to donate 50% of my fundraising towards ______________________)
If I have ticked the box headed ‘Gift Aid √ ’, I confirm that I am a UK Income or Capital Gains taxpayer. I have read this statement and want the
charity or Community Amateur Sports Club (CASC) named above to reclaim tax on the donation detailed below, given on the date shown. I
understand that if I pay less Income Tax / or Capital Gains Tax in the current tax year than the amount of Gift Aid claimed on all donations it
is my responsibility to pay any difference. I understand the charity will reclaim 25p of tax on every £1 that I have given.
SPONSOR’S
FULL NAME
(first name and
surname)
SPONSOR’S HOME
ADDRESS
only needed if you are
Gift Aiding your
donation
POSTCODE
DONATION
AMOUNT
£
DATE PAID
TOTAL COLLECTED/CARRIED FORWARD
All profit from the event will go to charities supported by the Rotary Club of
Medway Sunlight Trust Fund – registered charity :1156674
GIFT
AID √
PLEASE TICK COLUMN IF UK TAXPAYER (SEE OVERLEAF)
SPONSOR’S
FULL NAME
(first name and
surname)
SPONSOR’S HOME
ADDRESS
DONATION
POSTCODE
only needed if you are
AMOUNT
Gift Aiding your
£
donation
TOTAL CARRIED FORWARD
DATE PAID
TOTAL COLLECTED - THANK YOU!
All profit from the event will go to charities supported by the Rotary Club of
Medway Sunlight Trust Fund – registered charity :1156674
GIFT
AID √