Registered Charity Number 205395 

I would like to sponsor _____________________________ for taking part in the

 RUN HOLKHAM HALL

 On Sunday 5th August.

GREAT NEWS! Changes in taxation law now mean that for many donations we can reclaim the tax. This is worth an extra 28p for every £1.00 you donate, at no extra cost to you. Sponsors must pay UK tax or capital gains tax equal to the tax we can reclaim on your donation and you must not be a relative or business partner of the person being sponsored. If you would like Muscular Dystrophy Campaign to reclaim the tax on your donation, please fill out your full name and address and tick the Gift Aid box. Please also read the declaration below.

DECLARATION: I am a UK taxpayer and not related to the named participant. Please treat all donations that I make on or after the data shown as Gift Aid donations.

DP

FULL NAME

FULL ADDRESS (Including Post Code)

AMOUNT

DATE

TICK IF

GIFT AID

TICK

IF PAID

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 DATA PROTECTION INFORMATION FOR SPONSORS:  

The muscular Dystrophy Campaign would like to keep you informed of our work, and that of other carefully chosen good causes.  If you do not wish to receive this information, please tick the Data Protection box []