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
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)
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