Please return this form to: Through the Roof, Alpha House, Alpha Place, Garth Road, Morden, Surrey, SM4 4TQ
Your details: *
Full name( inc. title):....................................................
Address:................................................................................................................................................................ Postcode:..................................................................... Telephone:................................................................... Email:............................................................................
Giving / Supporting our work:
I’ d like to donate to: Please tick a box below to show your preference( s) c ABC resource c Where the need is greatest c Wheels for the World( general support) c Sponsorship: Wheelchair( name for certificate)............................................................................... c £ 78 from the UK to destination country c £ 46 to cover wheelchair refurbishment c Sponsorship: Bible( s) c £ 24 to give an audio Bible c £ 10 to give a printed Bible c‘ Together’ Fellowship c UK Roofbreakers
Your preferences- how would you like to hear from us:
Tick here to receive our: c Vital Link newsletter by email c Vital Link newsletter by post c Vital Link in alternate format c Braille c Audio c Large Print c International Mission news c‘ Together’ news c Disability Awareness Sunday Information c Weekly Prayer support email c Please unsubscribe me
Gift Aid:
Gift Aid enables us to make your gift go further at no additional cost to you. To enable us to apply for Gift aid please advise your full name, including title and middle names, and your full address, in the‘ Your Details’ section( see top left) to allow us to apply for Gift Aid. I would like Through the Roof to treat as Gift Aid donations ** all qualifying gifts of money made( please tick all boxes that you wish to apply then sign and date below): c on this donation c in the past 4 years c in the future or c I am unable to Gift Aid my donations
Signature:....................................................................... Date:...........................................................................
* We take your personal data and privacy very seriously and only use your information to best provide you with the products and services you ask for e. g. sending our newsletter, or accounting for donations. We only hold personal data for as long as it is needed, and it is held securely and never passed on to external organisations. More information can be found in our privacy policy at www. throughtheroof. org
** I am a UK taxpayer and understand that if I pay less Income Tax and / or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year it is my responsibility to pay any difference. Please notify the charity if you want to cancel this declaration, change your name or home address, or no longer pay sufficient tax on your income and / or capital gains. If you pay Income Tax at the higher or additional rate and want to receive the additional tax relief due to you, you must include all your Gift Aid donations on your Self-Assessment tax return or ask HM Revenue and Customs to adjust your tax code.
How to donate: By cheque made out to Through the Roof • By bank transfer( BACS) to: Through the Roof Charitable Trust, sort code: 82-12-08, Virgin Money account number: 20047444( please use your name & purpose of the donation as the reference) • By Credit Card( please complete details below)
I enclose a cheque for £ …………….........…. made out to Through the Roof I have sent my money by bank transfer, my reference is................................................................... I would like to donate £ …………………. by credit / debit card number: cccc cccc cccc cccc Issue number( If applicable): cccc Valid from date: cc / cc Expiry date: cc / cc Name on card: ……………………………………… Security code / CVV( Last 3 numbers on back of card): ccc c I would like to make a regular donation of £................... to be used for:.................................................... c I have set this up with my bank c Please send me a form to enable me to do this. c I do not require an acknowledgement for my donation
Signature:....................................................................... Date:...........................................................................
Through the Roof, Alpha House, Alpha Place, Garth Road, Morden, Surrey, SM4 4TQ | info @ throughtheroof. org | 01372-749955