Undertaking a Sponsored Run in of aid Shelterbox throughRotary Club of Burnham BeechesCharitable Trust
The RCBB Charitable Trust makes donations to local, national and international organisations that support deserving causes. This year we are making donations to Shelterbox the charity thatprovides emergency shelter and vital supplies to communities around the world overwhelmed by disaster and humanitarian crisis.
Thank you for agreeing to participate in a sponsored run for the RCBB Charitable Trust.
We should be grateful if you could fill out the following details and return this form (page one only) by post or email to reserve your place.
I wish to enter the 5K */ 10K *Burnham Beeches Run on 31st October 2015 and undertake to raise funds through sponsorship for the RCBB Charitable Trust(*Delete as appropriate)
Name: …………………………………………………………………………………………………..…………
Address: ……………………………………………………………………………………………………….…
…………………………………………………………………………………………………………………………
Postcode: …………………………………………………………………………………………………………
Telephone:………………………………………………………………………………………………….……
Mobile:………………………………………………………………………
Email:………………………………………………………………………
Date of Birth: ………………………… (Please note that you must be over 16 to run)
T-shirt/ Running shirt size S/M/L/XL please delete as applicable
Disclaimer: I declare I will be 16 years or over on the day of the event. I declare that I will not participate in the run unless I am medically fit on the day of the run, and in any event I will compete at my own risk. I accept that the organisers and supporting charity Rotary Club of Burnham Beeches will not be liable for any loss, damage, action, claim, costs, expenses, which may arise in consequence of my participation in the event. I also hereby give Rotary Club of Burnham Beeches my permission to use my name and photographic likeness for promotional purposes for the charity.
Signature ......
Date......
Please return to Michael Mills, 39 Rosewood Way, Farnham Common, SL2 3QD
e:
Sponsorship and Gift Aid declaration form
Please sponsor me ...... to run in the 5K */ 10K * Burnham Beeches Run(*Delete as appropriate)
We, who have given our names and addresses below and have ticked the box headed ‘Gift Aid? (√)’, want Rotary Club of Burnham Beeches Charitable Trust to reclaim tax on the donation detailed below, given on the date shown. We understand that each of us must pay an amount of income tax or capital gains tax at least equal to the tax reclaimed by the charity on the donation.
Full name / Home address (Not your work address) / Postcode / Amount £ / Date paid / GiftAid? (√)Total Donations:
Please return to Michael Mills, 39 Rosewood Way, Farnham Common, SL2 3QD
e:
Paying In Form
You can pay in your fundraising to us in the following ways:
If you have collected cash, please bank the money and then write a cheque made payable to ‘RCBB Trust Fund’ and send in with this form to the address below
Send any cheques or CAF vouchers made payable to ‘RCBB Trust Fund’ with this form to the address below
Pay in or transfer the cheques and cash to ‘RCBB Trust Fund’ bank account:
Account Number:00023754 Sort Code: 40-52-40
Please include a reference with the payment: ‘your surname 5k-10kRace’and send this form to the address below
Send your cheques or CAF vouchers with pages 2 and 3 of these forms to:
Michael Mills
Burnham Beeches Run
39 Rosewood Way
Farnham Common
SL2 3QD
e:
Please fill in the section below and return to us:
Cheques / Qty: / £CAF Vouchers / Qty: / £
TOTAL RAISED (excluding Gift Aid) / £
Will you be forwarding any further sponsorship money? / Yes / No
Name______
Address______
______
Post Code______
Email______
Date sent___/___/___
Please use the box below or attach a letter to write a message to the Event organiser
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