Organised by the Llanishen Rotary Club
(click on link below)

Photographs from this year’s event will be available.

Click on Logo above
Sponsorship Form

Organised
by the Llanishen
Rotary Club

SPONSORSHIP FORM

Runner/Team Name


Name of Charity

.....................................................................................................................


.....................................................................................................................

Print this sheet and use it to record your sponsorship
It is your responsibility to collect sponsorship money and pass it directly to your chosen charity.
To help with publicity, we may ask you on the day how much you hope to have collected

Please read carefully before donating: We who have given our names, addresses and ticked the box entitled ‘Gift Aid’ want the charity to reclaim tax on the donations detailed below, given on the date shown. We understand that each of us must pay Income Tax or Capital Gains Tax equal to, or in excess of, the tax reclaimed by the charity on the donation


Full Name


Address


Postcode

Amount Pledged

Amount Collected

Date Given
dd/mm/yy

Gift Aid
( Tick)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

.TOTAL ON THIS SHEET      £ ...............................

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