ref number: · web viewwalk-a-thon, at ca n non hill park, birmingham on s atur day 5 th octo ber...

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Using Gift Aid means that for every one pound donated, your charity will receive an extra 25p from the Inland Revenue, helping each donation go further at no cost to the donor. DECLARATION: We, who have given our name and address below and who have ticked the box entitled Gift Aid ‘() ‘, want Birmingham Mind to reclaim tax on the donation detailed below. We understand that each of us must pay income tax or capital gain tax equal to the tax reclaimed by the charity on the donation. * Gift Aid: I would like my donation to benefit from Gift Aid Please detail your full name, home address and postcode and tick the box to state you have read the declaration above and would like the tax claimed back on your donation. * Full Name * Home Address * Postcode * Gift Aid () Amount pledge d Amount paid Data Opt Out () John Example 1 Example Avenue, Example Town EG1 ABC £10.00 £10.00 Birmingham Mind SPONSORSHIP FORM Birmingham Mind, Fundraising Dept, 17 Graham Street, Hockley, Birmingham B1 3JR Telephone: 0121 608 8001 Website: www.birminghammind.org NAME:________________________________________________________________________ is taking part in Birmingham Mind’s Sponsored Walk-A-Thon, at Cannon Hill Park, Birmingham On Saturday 5 th October 2013, 11:00am – 1:00pm Birmingham Mind offers high quality recovery based services to adults and older adults together with a range of services which includes residential care homes, supported housing, support to people living in their own homes Company Limited by Guarantee No: 2024372 Registered Charity No:

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Page 1: Ref Number: · Web viewWalk-A-Thon, at Ca n non Hill Park, Birmingham On S atur day 5 th Octo ber 2013, 11:00am – 1:00pm Birmingham Mind offers high quality recovery based services

Using Gift Aid means that for every one pound donated, your charity will receive an extra 25p from the Inland Revenue, helping each donation go further at no cost to the donor. DECLARATION: We, who have given our name and address below and who have ticked the box entitled Gift Aid ‘ () ‘, want Birmingham Mind to reclaim tax on the donation detailed below. We understand that each of us must pay income tax or capital gain tax equal to the tax reclaimed by the charity on the donation.

* Gift Aid: I would like my donation to benefit from Gift Aid Please detail your full name, home address and postcode and tick the box to state you have read the declaration above and would like the tax claimed back on your donation.

* Full Name * Home Address * Postcode * Gift Aid()

Amount pledged

Amount paid

Data OptOut()

John Example 1 Example Avenue, Example Town EG1 ABC £10.00 £10.00

Birmingham MindSPONSORSHIP FORM

Birmingham Mind, Fundraising Dept, 17 Graham Street, Hockley, Birmingham B1 3JR

Telephone: 0121 608 8001Website: www.birminghammind.org

Email: [email protected]

NAME:________________________________________________________________________is taking part in Birmingham Mind’s Sponsored Walk-A-Thon, at Cannon Hill Park, Birmingham

On Saturday 5th October 2013, 11:00am – 1:00pmBirmingham Mind offers high quality recovery based services to adults and older adults together with a range of services which includes residential care homes, supported housing, support to people living in their own homes and activities and services in local communities. Our Mission is “Promoting and providing high quality support for those experiencing mental distress”.

Company Limited by GuaranteeNo: 2024372

Registered Charity No: 1003906

Page 2: Ref Number: · Web viewWalk-A-Thon, at Ca n non Hill Park, Birmingham On S atur day 5 th Octo ber 2013, 11:00am – 1:00pm Birmingham Mind offers high quality recovery based services

PLEASE MAKE CHEQUES PAYABLE TO: BIRMINGHAM MIND

“We hope that you will help and support us.

It is something we can achieve together if we put our to it”

Total donations received

For OfficeUse Only

Date money received Total amount of Gift Aid donations £

Gift Aid£ tax reclaimable

Birmingham Mind will use the information you provide to keep you in informed of events and appeals and to send you a copy of our newsletter. We will not share your information with other companies or third parties. In addition, you may be contacted by one of the team members, which will give you the option to opt out of the mailing list if you so wish. Information may be provided by letter, telephone or other reasonable means of communication. If you have any further questions on the use of the information you provide, please contact Birmingham Mind on the contact details at the front of this form. If you do not wish Birmingham Mind to contact you, please tick the box entitled ‘Data Opt Out’ ()

Page 3: Ref Number: · Web viewWalk-A-Thon, at Ca n non Hill Park, Birmingham On S atur day 5 th Octo ber 2013, 11:00am – 1:00pm Birmingham Mind offers high quality recovery based services