Sponsorship Form
Cheltenham Starlight Hike for Leckhampton Court Hospice
Name:
Address:
Postcode:
Remember to make some photocopies of this form before anyone fills in their details.
Using Gift Aid means that for every pound you give, we get an extra 25 pence from HM Revenue and
Customs, helping your donation go further, at no extra cost to you, or us. All you have to do is tick the
box below to agree that you’d like all donations you’ve made for the four years prior to this and all future
donations until you notify us otherwise to be treated as Gift Aid donations.*
Full name of sponsor
House number/name Postcode
(not work address –
we need your home
address to claim Gift Aid.
We won’t use your details
for any other reason)
Contact
Number
Amount
MR A. SPONSOR
12 STREET NAME
01234567890
£20
AB123CD
Please
tick for
gift aid
3
Paid
3
Please
tick for
more
details
on Sue
Ryder
Sponsorship Form – Cheltenham Starlight Hike
Name:
Postcode:
Using the Gift Aid means that for every pound you give, we get an extra 25 pence from HM Revenue and
Customs, helping your donation go further, at no extra cost to you, or us. All you have to do is tick the
box below to agree that you’d like all donations you’ve made for the four years prior to this and all future
donations until you notify us otherwise to be treated as Gift Aid donations.*
Full name of sponsor
House number/name Postcode
(not work address –
we need your home
address to claim Gift Aid.
We won’t use your details
for any other reason)
Contact
Number
Amount
MR A. SPONSOR
12 STREET NAME
01234567890
£20
AB123CD
Please make cheques payable to Sue Ryder and return with forms to:
Sue Ryder - Leckhampton Court Hospice, Church Road, Leckhampton,
Cheltenham, Gloucestershire, GL53 0QJ
Or, if you’d like to pay the lump sum by credit card, please call us with
your card details ready.
Please
tick for
gift aid
3
For more information
contact: Jocelyn Midgley
call: 01242 246 293
email: [email protected]
visit: www.sueryder.org/starlighthike
*By ticking this box you are confirming that you are a UK taxpayer (you must have paid an amount of income or capital gains tax (VAT and council tax do not qualify) at least equal to the tax
that all charities and Community Amateur Sports Clubs (CASCs) that you donate to will reclaim on your donations in the appropriate tax year).You understand the charity will reclaim 28p of tax
on every £1 that you gave up to 5 April 2008 and will reclaim 25p of tax on every £1 that you give on or after 6 April 2008.
incredible care
Sue Ryder is a charity registered in England and Wales (1052076) and in Scotland (SCO39578).
Ref No.01620 © Sue Ryder. March 2013
Paid
3
Please
tick for
more
details
on Sue
Ryder