DM Thomas Foundation for Young People Sponsorship Form Name: _________________________________________ Address: ________________________________________ ________________________________________________ Postcode: ________________ Country: ________________ I want to raise: £ _______________ for DM Thomas Foundation for Young People and __________________________. To sponsor me, please write your name, address and sponsorship amount below. Every net pound we receive will be used to help create better futures for disadvantaged children and young people. UK taxpayers, let the tax man increase your donation! To allow DM Thomas Foundation for Young People to claim Gift Aid on your donation for your nominated charity, you must tick the Gift Aid box and provide your full home address details on the rows below. Please see back of form for more information. Full Name Home Address Postcode We must have your Home Address and postcode in order to claim Gift Aid (UK only) e.g. Mr A Donor 123 Generous Road, London Amount pledged Amount collected W23 5RD £10.00 100% of the net proceeds from this event will be used to support the education and well-being of disadvantaged young people. £10.00 Date given dd/mm/yy 01/03/15 Subtotal £ Thank you for your support. For more information on how your donation will be used please visit www.dmthomasfoundation.org This fundraising event is an initiative of DM Thomas Foundation for Young People. Registered charity number: 1084220 (England and Wales) 038995 (Scotland) *Tick to claim Gift Aid (UK only) a Full Name Home Address Postcode We must have your Home Address and Postcode in order to claim Gift Aid (UK only) e.g. Mr A Donor 123 Generous Road, London Once the money has been collected, please this sponsor form along with a cheque made payable to DM Thomas Foundation for Young People for the full amount raised to the following address: W23 5RD Amount pledged Amount collected £10.00 £10.00 Date given dd/mm/yy 01/03/15 Total £ Raised DM Thomas Foundation for Young People 179-199 Holland Park Avenue London W11 4UL We can only reclaim Gift Aid (see declaration below) if you have given your full name and address and ticked the Gift Aid box in the end column. *In the UK Gift Aidtaxpayers, declaration: let the tax man increase your donation! To allow Hilton in the Community Foundation to claim UK I confirm I have or will pay an amount of income tax and/or Capital Gains Tax for each year (6 April to 5 April) that is at least equal to the amount of tax Gift Aid onor your donation your nominated mustontick theforGift Aid box and provide your that all charities Community Amateurfor Sports Clubs (CASCs) that charity, I donate to,you will reclaim my gifts that tax year. I understand the charity will full reclaim 25paddress of tax on every £1 that or afterbelow. 6 April 2008. home details onI give theonrows Please see back of form for more information. This fundraising event is an initiative of DM Thomas Foundation for Young People. Registered charity number: 1084220 (England and Wales) 038995 (Scotland) www.dmthomasfoundation.org *Tick to claim Gift Aid (UK only) a
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