Ask Everyon
e
to Sponsor Y
ou
ie Mac’s
Doug
Bring a Please Sponsor Me
POUND
Name: ...............................................................
All sponsorship money will be donated to your Dougie Mac
Thank You!
Thank You for Raising Money for your Dougie Mac
Full Name
Home Address
Post Code
Address:
Online: You can also pay in your donations online via our
website www.dmhospice.org.uk But don’t forget to post back
your sponsor form to the address listed below
Post Code:
By post: Send your cheque(s) made payable to ‘Douglas
Macmillan Hospice’ along with your paying in forms and/
or sponsor forms to Fundraising Dept, Douglas Macmillan
Hospice, Blurton, Staffordshire, ST3 3NZ.
Signed:
Mobile:
In person: You are welcome to bring in your donation into the
Hospice, or to any of our Douglas Macmillan Hospice shops.
Gift Aid
Total
£
Non Gift
Aid Total
£
Grand
Total
£
Source
Code
App
Code
Donor
No
Pledge
No
[email protected]
01782 344 304
www.dougiemacevents.co.uk
RCN: 1071613
Email:
Your Local Hospice
(please tick)
How to get your donations back to the Hospice:
The donations you have raised should be collected and returned
with the sponsorship form within 4 weeks of fundraising. Please
Note: Gift Aid cannot be reclaimed by the hospice from the
Inland Revenue without the original sponsor forms.
First Name:
Last Name:
For Office
Use Only
Date Paid Gift Aid
Grand Total:
Details of person being sponsored
Title:
Amount