Sponsor Form - Twilight Walk 2017

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Participant name: ______________________________________

Home Address: _______________________________________ _________________________Post Code: __________________ Tel No. (Day): _______________ (Eve): ____________________

Boost your donation by 25p for every £1 you donate I want to Gift Aid my donation and all donations I make in the future or have made in the past 4 years, to Cancer Research UK. I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of the Gift Aid claimed on all of my donations in the tax year it is my responsibility to pay any difference. Please let us know if you want to cancel this declaration, change your name or home address or no longer pay sufficient tax on your income.

Email: _______________________________________________

Make sure that we can read your full name, home address and postcode. Please ask each sponsor to complete their own details. Forms in the same handwriting are not valid for Gift Aid purposes. Tick here for Gift Aid

Very Important - Gift Aid: Title

Full Name (including initials)

Home Address

Post code

Miss

A. Sample

123 Sample, Sample Street

AB1 2CD

Your total raised towards our target.......

Date Paid

Total

£5.00

Your total raised towards our target.......

02/06/14

£

Cancer Research UK is a registered charity in England and Wales (1089464), Scotland (SC041666) and the Isle of Man (1033) Northern Ireland registration pending

Title

Full Name (including initials)

Home Address

Post code

Miss

A. Sample

123 Sample, Sample Street

AB1 2CD

Your total raised towards our target.......

Total

£5.00

Your total raised towards our target.......

   

Date Paid 02/06/14

£