Participant’s name:

Movember registration number:

Address:

Postcode:

Telephone number:

SPONSOR DETAILS

Full name Full home address with postcode Amount pledged Date given Gift Aid?

Please tick

First name 1 Sample Street, Sample Town,£20.00 01/01/2012 4

Last name Sample City ABC 1234

Subtotal

This sponsorship form can be used by registered members of the Royal Mail Movember network to raise money.

Sponsors can also donate online using the ‘Mo Space’ provided to each registered fundraiser.

Every penny of sponsorship raised by registered members of the Royal Mail Movember network will be matched by Royal Mail, penny for penny. Money raised by Royal Mail employees for Movember will be donated to Prostate Cancer UK to fund specialist prostate cancer nurses.

To register with the Royal Mail Movember network, visit www.myroyalmail.com/movember

For every £1 donated by UK taxpayers we can receive an extra 25p. Just make sure your donors fill in their own details. They should provide their full address, including postcode, and tick the Gift Aid box. For details please see the statement overleaf.

More sponsor details on Page 2 >

MOVEMBER2013SPONSORSHIP FORM

Remember: Full name + home address + Postcode + Gift Aid tick = Gift Aid. See previous page for details

Movember Europe is a registered company in England and Wales (company no. 7275694) and registered as a charity in England and Wales (charity no. 1137948) and in Scotland (charity no. SC041981).Prostate Cancer UK is a registered charity in England and Wales (1005541) and in Scotland (SC039332). Registered company 2653887.

Royal Mail, the Cruciform and the colour red are registered trade marks of Royal Mail Group Ltd. Royal Mail is a trading name of Royal Mail Group Ltd. Registered in England and Wales number 4138203.

Checklist for Mo Bros and Mo Sistas

You can download more sponsorship forms at www.myroyalmail/movemberor call 0151 284 1221 to have one sent to you

4 Make sure you are registered on myroyalmail.com/movember

If you need a paper version of the registration form, call Charities Trust on 0151 284 1221.

If you are not registered, your funds will not be eligible for matched giving from Royal Mail.

4 If you have any questions, please email movember@royalmail.com

4 Provide your online ‘Mo Space’ address to sponsors who want to donate online.

4 Cash and cheques should be banked at any NatWest branch. Cheques should be made out to ‘Movember’.

Bank: NatWest Account name: Movember Account number: 46561056 Sort code: 504110

Once you have completed this form please attach your bank deposit receipts and send it to:

Movember Europe, PO Box 68600, London EC1P 1EF

Full name Full home address with postcode Amount pledged Date given Gift Aid?

Please tick

Total

* Gift Aid Declaration: I am a UK taxpayer, and would like Movember Europe to reclaim Gift Aid on this donation. I understand that Movember Europe will reclaim 25p of tax on every £1 that I donate. I confirm that I have paid or will pay an amount of income tax and / or capital gains tax for the current tax year that is at least equal to the amount of tax that all the charities and Community Amateur Sports Clubs (CACS) that I donate to will reclaim on my gifts for the current tax year. I understand that other taxes such as VAT and Council Tax do not qualify. I understand that if my circumstances change it might not be possible to reclaim Gift Aid on my donation and I would need to notify Movember Europe.