Please tick here to Gift Aid your donation. By ticking this box The Fire Fighters Charity and Earl Mountbatten Hospice can claim an extra 25p in every

Please tick here to Gift Aid your donation. By ticking this box The Fire Fighters Charity and Earl Mountbatten Hospice can claim an extra 25p in every pound, from HM Revenue & Customs, at no extra cost to you. To qualify for Gift Aid, what you pay in income tax or capital gains must be at least equal to the amount we will claim on your donation in the tax year.

Total Collected

Your details

Name:_______________________________ Tel/Mob: _____________________________

Address__________________________________________ Postcode:________________

Email:____________________________________________________________________

Event Name:__________________________ Event date:___________________________

Sponsorship Form: The Fire Fighters Charity & Earl Mountbatten HospicePlease note that all monies raised will be divided equally between The Fire Fighters Charity and Earl Mountbatten Hospice

Sheet number ___ of ___ total sheets

Title First name Surname Home address Home postcode

Gift Aid?

Q1*

Amount pledged

Amount given

Mr John Smith 10 Any Street, Any Town, Any County ABC 123 £10.00 £10.00

Provide FULL

TITLE for Gift Aid

Please provide FULL FIRST NAME for Gift

Aid

Please provide FULL SURNAME for Gift Aid

Please provide FULL ADDRESS for Gift Aid Please provide FULL HOME POSTCODE

for Gift Aid

Please tick for Gift Aid

Provide FULL

TITLE for Gift Aid


Aid



for Gift Aid


Provide FULL

TITLE for Gift Aid

Please provide FULL FURST NAME for Gift

Aid



for Gift Aid


Provide FULL

TITLE for Gift Aid


Aid



for Gift Aid


Provide FULL

TITLE for Gift Aid


Aid



for Gift Aid


Provide FULL

TITLE for Gift Aid


Aid



for Gift Aid


Provide FULL

TITLE for Gift Aid


Aid



for Gift Aid


Provide FULL

TITLE for Gift Aid


Aid



for Gift Aid


Provide FULL

TITLE for Gift Aid


Aid



for Gift Aid


Q1*Data Protection: Your information will be used to fulfil your request. Your details may also be used to keep you informed about the Charity

Paying in your moneyWe kindly ask that you pay in your money as soon as possiblePlease make cheques payable to: The Fire Fighters CharityPlease send all cheques, along with the original sponsorship forms to: Fundraising Coordinator, The Fire Fighters Charity, Level 6, Belvedere, Basing View, Basingstoke, RG21 4HG

Alternatively you can call the fundraising team on 01256 366 566, or email us at [email protected]

Title First name Surname Home address Home postcode

Gift Aid?

Q1*

Amount pledged

Amount given

Mr John Smith 10 Any Street, Any Town, Any County ABC 123 £10.00 £10.00

Provide FULL

TITLE for Gift Aid


Aid


Please provide FULL ADDRESS for Gift Aid Please provide FULL HOME POSTCODE for

Gift Aid


Provide FULL

TITLE for Gift Aid


Aid



Gift Aid


Provide FULL

TITLE for Gift Aid

Please provide FULL FURST NAME for Gift

Aid



Gift Aid


Provide FULL

TITLE for Gift Aid


Aid



Gift Aid


PLEASE FEEL FREE TO PHOTOCOPY THIS FORM IF YOU NEED MORE OR DOWNLOAD FROM OUR WEBSITE

WWW.FIREFIGHTERSCHARITY.ORG.UK/FUNDRAISING. ORIGINAL FORMS MUST SUBMITTED TO THE CHARITY.

Back Page Total

Total for Sheet

Charity Reg. No. 1093387.Charity Registered in Scotland No. SC040096Charity Reg. No. 1039086

mailto:[email protected]

http://www.firefighterscharity.org.uk/FUNDRAISING

Documents

Please tick here to Gift Aid your donation. By ticking this box The Fire Fighters Charity and Earl Mountbatten Hospice can claim an extra 25p in every