Suffolk 100

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Suffolk 100 Connecting people who care with causes that matter We are looking for 100 ambassadors who care about the needs of Suffolk. Suffolk Community Foundation is dedicated to helping the people of Suffolk, working in partnership with others who are wanting to make a difference. With over 19,000 children in our county currently living below the poverty line; 8,500 reported cases of domestic abuse in the last year; 450 winter deaths attributed to poor living conditions and over 500 young people currently receiving counselling as a result of sexual abuse. We clearly have a lot of work to do if we are able to be truly proud of the county in which we live. Through grant making we have awarded over £12 million to over 3,000 Suffolk charities and community groups who are doing remarkable and often unpublicised work right across our county. The Suffolk 100 is for you if you would like to support our work. The Suffolk 100 asks you to make an annual donation of £1,000 for a minimum of three years.

For more information please contact Judy Dow on 01473 786915 or email [email protected] Suffolk Community Foundation, Peninsula Business Centre, Wherstead, Ipswich, Suffolk, IP9 2BB Tel: 01473 602602 www.suffolkcf.org.uk Charity no: 1109453 Company Reg. no: 05369725

Please complete the form below in capital letters and return to Suffolk Community Foundation at the address overleaf. Thank you. Title: Full Name: Address: Postcode:

Email:

I wish to become one of the Suffolk 100 and would like to make an annual donation of £1,000 for a minimum of 3 years to Suffolk Community Foundation as one of the Suffolk 100. I would like to set up a direct debit through GoCardless OR I have completed the Standing Order form below to be sent by Suffolk Community Foundation to my bank. To: Name of Bank Address of Bank: Sort Code: Account Number: Account Name:

I request you to pay, for a period of (3 years)/(until further notice)*, to Barclays Bank, 20-21 Cornhill, Bury St. Edmunds, Suffolk, IP33 1DY, for the credit of Suffolk Community Foundation, Sort Code: 20-16-12 Account Number: 30154334, the annual sum of £1,000 (One Thousand Pounds). I would like to pay equal (quarterly) (annual) * instalments commencing on the Date _________________of (Month) _____________________________ (Year) ________________________ Signed ______________________________________________________________________________________ *

Please delete as appropriate I would like Suffolk Community Foundation to treat this donation and all subsequent donations as a Gift Aid Donation unless notified otherwise (notes below).

To enable Suffolk Community Foundation to reclaim 25p of tax on every £1 donated please tick the Gift Aid box if the following statement is correct: “I am a UK taxpayer and I would like Suffolk Community Foundation to treat all donations I have made since 5 April 2008 and all donations I make from the date of this declaration as Gift Aid donations, until I notify you otherwise. I understand that I must pay an amount of UK Income tax and/or Capital Gains Tax at least equal to the tax that any charities and CASCs reclaim on my donations in each tax year. I understand that other taxes such as VAT and Council Tax do not qualify.”