I am raising
money for
Sight Concern
Worcestershire
Sight Concern Worcestershire
Sponsor Form
Please sponsor me and support blind &
partially sighted people across Worcestershire
Event:
Full name:
T: 01905 723 245 Email: [email protected]
Turn £1 into £1.25
at no extra cost to you!
www.sightconcern.co.uk
If you are a UK tax payer and would like to Gift
Aid your donation simply tick the Gift Aid column.
Registered Charity Number: 1136716 Registered company no: 07258623
Full Name
Home Address (Please complete your home
Postcode
Amount
Jonathon Fotheringham
123, Any Street, Anytown, Anyshire
W1 2AA
£15
address & postcode so we can claim Gift Aid)
Gift
Aid

Address:
Postcode:
Note to participant: While anyone can sponsor you,
the charity may not be able to claim Gift Aid from all your
sponsors, for example family members (connected persons),
if you have received a benefit by participating. Please check
with the Institute of Fundraising for further details.
Thank you for your support!
Please return your form together with your sponsorship money to:
Sight Concern Worcestershire, The Bradbury Centre, 2 Sansome Walk, Worcester WR1 1LH
Rec'd

Full Name
Home Address (Please complete your home
address & postcode so we can claim Gift Aid)
Using Gift Aid means that for every pound
you give, we can claim an extra 25 pence
from HM Revenue & Customs, helping your
donation go further.
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 I must pay an
amount of Income Tax and/or Capital Gains Tax in the tax year at least
equal to the amount of tax that all the charities and CASCs I donate
to, will reclaim on my gifts for that tax year. I understand that other
taxes such as VAT and Council Tax do not qualify. I understand the
charity will reclaim 25p of tax on every £1 that I have given.
Tick the box to Gift Aid your donation. It’s that simple!
Total Amount
Postcode
Amount
Gift
Aid
Rec’d