Marie Curie Sponsorship Form
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1
2Marie Curie sponsorship form
Tick the Gift Aid box
Please sponsor me (name)
Gift Aid increases your donation by 25p for every £1 you donate at no extra cost to you
Gift Aid is reclaimed by Marie Curie from the tax you pay for the current tax year. Your address is needed to
Home address
identify you as a current UK taxpayer. In order to claim Gift Aid you must tick the box below.
Postcode
By ticking the box below you acknowledge that you (a) want to Gift Aid your donation and any donations
you make in the future or have made in the past four years to Marie Curie and (b) you are a UK taxpayer and
Event name
Date of event
understand that if you pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on
all your donations in the current tax year it is your responsibility to pay any difference.
For us to claim Gift Aid each donor must fill in their own details and donation amount
Please let us know if you want to cancel the declaration, change your name and address or no longer pay
on the form below. Please make cheques payable to Marie Curie.
sufficient tax on your income and/or capital gains.
Full name of sponsor
House
Home address
Postcode
Gift Aid
Donation
Date given
no.
(Please
amount
Each sponsor must fill in their
To enable us to claim Gift Aid we require a HOME, not a business
Full postcode
We can’t
tick)
own details.
address. If you use “ditto” or quote marks, we will not be able to
needed to enable
claim Gift Aid
claim Gift Aid.
us to claim Gift Aid.
without this.
Mr Andrew Sample
16
Any Street, London
AB1 2CD
£20.00
01/01/16
Total amount £
Thank you for your support.
Date donations given to charity
The donor information supplied on this form will only be used for claiming Gift Aid.
We will not sell or swap your details with other charities or third parties. We will keep your details
safe and will only use them in accordance with our privacy policy – .uk/privacy
For office use
Batch
Transaction
Event
Supporter
Value of Gift Aid
number
number
number
number
donations
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