Charity Application 2015 – Tesco Extras and Superstores Charity Name ______________________________________________________________ Charity Registration Number* _________________________________________________ *Please note that we will not be able to book any charities, who do not supply a registered charity number. Charity Branch Name ____________________________________________________________________ Contact Name _____________________________________________________________ Position ___________________________________________________________________ Address __________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ Contact Telephone Number: __________________________________________________ Email Address: _____________________________________________________________ Charity Website: ____________________________________________________________ Name of Person responsible for the collection___________________________________ Will the collector be paid? (Please circle) YES NO I hereby certify that to the best of my/our knowledge and belief, the above particulars are true. Signed: Print Name: Position: Date: Date of your collection Subject to availability, there is a maximum of 2 consecutive days per store, per year, per each charity. Arc only book charity collections for Tesco Extras and Superstores. We do not book bag packing or December collections as these are arranged through each individual store. Arc receives a high volume of requests so it will be difficult to book charities who have requested specific dates. Please also note that each store is only permitted to hold 4 days a month for charity campaigns. Applications are processed subject to availability on a first come first served basis when the relevant booking period opens. Please refer to Timeline of application process. st 1 store requested Store name and address Store ID if known (e.g 2672) When do you want to hold your collection? Weekday (Mon – Thurs) Friday Saturday Any Weekday or Weekend Any month during January – February 2015 Any month during March – May 2015 Any month during June – August 2015 Any month during September – November 2015 For any specific requirements please state below: nd 2 Store requested Store name and address Store ID if known (e.g 2261) When do you want to hold your collection? Weekday (Mon – Thurs) Friday Saturday Any month during January – February 2015 Any month during March – May 2015 Any month during June – August 2015 Any month during September – November 2015 For any specific requirements please state below: Any Weekday or Weekend Your collection or awareness campaign Tesco corporate policy states: 1) No type of selling is permitted, including raffle tickets. 2) No collection of customer personal contact details and/or direct debit information is permitted. 3) No collections are possible at Express stores. 4) The use of any equipment is at the discretion of the store manager. 5) Metro stores manage their own collections all year round. Please contact them directly for a charity collection. To request a December booking please write to the Charity / Community Champion at your local store. Thank you for taking the time to complete this application. Please send this form to: Tesco Charity Coordinator Arc Warwick Building Kensington Village Avonmore Road London W14 8HQ Or email form to: [email protected] Timeline of application process Booking Period January – February 2015 March – May 2015 June – August 2015 September – November 2015 Submit requests from st 1 August 2014 st 1 November 2014 st 1 February 2015 st 1 May 2015 Deadline date for requests st 31 August 2014 th 30 November 2014 th 28 February 2015 st 31 May 2015 Expected decision date st 31 October 2014 st 31 January 2014 th 30 April 2015 st 31 July 2015 Please note that applications will only be accepted during the above dates.