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duckling

                                       Supporting

              

       The Bedford Hospitals

     Charity Duckling Appeal.

SPONSORSHIP FORM                                                                                                                                                                                  Please Download and Print

Team Name....................................................................................................................................................

Swimmer's Name ………...................................................................................................................................

Address (including Post Code) ........................................................................................................................... ................................................................................................................................................................................

Gift Aid: Using gift aid means that for every pound raised, an extra 28pence from Inland Revenue helps donations go further. Just TICK THE BOX to agree to let us claim gift aid on your donation, GIVE YOUR POST CODE and we'll do the rest. You must be a UK taxpayer, paying an amount of income tax or capital gains tax, equal to the tax reclaimed.

    

 

        NAME OF DONOR  

         DATE OF DONATION

   GIFT AID   (PLEASE TICK)

            POSTCODE

              AMOUNT  £

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

                              TOTAL

 £

Please return this form together with any monies collected , (cheques to be made out to “The Rotary Club of Bedford Benevolent Fund”) to  

Rtn Ivan Flack, Gobion House, Godfrey Lane, Sharnbrook, Beds. MK44 1PS