Category: Village Hall

TO RAISE MUCH-NEEDED FUNDS FOR THE NEW VILLAGE HALL.
WE ARE INVITING YOU TO SUPPORT THIS BY “BUYING A TILE”

• BRONZE: for a Donation of £5.00
• SILVER: for a Donation of £10.00
• GOLD: for a Donation of £25.00
• PLATINUM: for a Donation of £100.00 or more.

STOURPAINE NEW VILLAGE HALL – “BUY A TILE”

Your Name will be recorded in our Book of Donors and you will be given a Certificate to indicate that you have “Bought a Tile” for this worthwhile cause.

Please complete the form below and return to:

Sue Curtis (Treasurer)
6 Hod View
STOURPAINE DT11 8TN

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I WOULD LIKE TO BUY A TILE FOR £_______

FULL NAME (PRINTED) ____________________________

ADDRESS ___________________________________

ADDRESS ___________________________________

TOWN ___________________________________

COUNTY ____________________________

POSTCODE ______________

I ENCLOSE CASH FOR THE SUM OF £_______
or
I ENCLOSE A CHEQUE FOR £_______ MADE PAYABLE TO
STOURPAINE VILLAGE HALL.

GIFT AID YOUR DONATION

GIFT AID enables us to claim a further 25p for every £1 donated by a UK taxpayer.

*_______ YES, I AM A UK TAXPAYER: I would like STOURPAINE VILLAGE HALL to reclaim tax on this donation until I notify you otherwise. I understand that I must have paid an amount of tax/capital gains tax at least equal to the amount that the charity will reclaim in the tax year that the gift was received.

*_______ NO, I am sorry I am not a UK taxpayer.

*PLEASE TICK APPROPRIATE

 

SIGNATURE _____________________ DATE _____________________

Additional forms available from Barrie Waterman (T: 01258 450669)