Hillingdon, Slough, Windsor, Kingston & District Branch

Registered Charity No. 263515

                   

                    Sponsorship Form

 

Name: …………………………………………………………………………..………

Address: ………………………………………………………………………..……….

…………………………………………………………………………………………..

………………………………………… Postcode: ……………………………………

Tel No: ………………………………………………………..........................................

Email: …………………………………………………………………………………...

 

Standing Order

To Bank / Building Society: ……………………………………………………………

Address: ………………………………………………………………………………...

………………………………………………………….……………………………….

…………………………………..…... Postcode: ……………………………………...

 

Account No: ……………………………………. Sort Code: ……………………..….

Name(s) of Account Holder(s): .. ………………………………………………………

…………………………………………………………………………………………..

 

I would like to help sick and neglected animals, please accept my monthly gift of:

     o          o             o                   o

 £3 per month      £5 per month      £10 per month        Other Amount £ ……...

until further notice and debit my account starting on the ……………………..….(date) and each month thereafter.


Signed: ………………………………………………………………………………….


Date: ……………………………………………………………………………………

 

From time to time, RSPCA may wish to send you news of offers and services that might be of interest to you.
Please tick if you do not wish to receive these
  

 

  Gift Aid Declaration

            I am a tax payer and I want the Hillingdon, Slough, Windsor, Kingston and District RSPCA to treat all my donations as Gift Aid donations.

Signed: ………………………………………………………………………….. Date: ………………..………………………...

 Notes: 

         To reclaim tax on your donation, you must be paying income or capital gains tax, equal to the amount we reclaim.

         If your circumstances change and you no longer pay tax or capital gains you should cancel your declaration by notifying us.

 

Bank use only -