The Dougie Mac Sponsor Forms The Dougie Mac Sponsor Forms

Sponsor Form Thank You for Raising Money for Dougie Mac What are you doing to raise money? Name is doing on at in honour of Each person pledging support can increase the value of their gift by 25% If you are a UK tax payer* the Douglas Macmillan Hospice can claim an additional 25p for every £1 you donate, all you need to do is complete your name and home address details in full and sign the Gift Aid box below. *You must have paid an amount of Income or Capital Gains tax (VAT & Council Tax do not qualify) at least equal to the tax that all charities and CASCs that you donate to will reclaim on your donations in the appropriate year. Date Title Mrs Last Name Your House Number Your Post Code Amount Anne Other 161 ST1 2AB £ 5.oo Gift Aid Paid (Please treat as Gift Aid) A Nother 3 Registered Charity No: 1071613 01.01.14 First Name For more forms either photocopy, download or contact us: Douglas Macmillan Hospice, Barlaston Road, Stoke-on-Trent, ST3 3NZ W: www.dmhospice.org.uk E: [email protected] T: 01782 344304