CIRCUIT OF KENT

Click here to download the form in pdf format for easier printing. Do you need a free Adobe PDF reader? Click here.

THE ROTARY CLUB OF SEVENOAKS AMHERST PRESENTS

THE CIRCUIT OF KENT CYCLO SPORTIVE 2010

Rider's Name

All sponsorship money donated will be given to Macmillan Cancer Relief, Hospice in the Weald and other charities supported by Sevenoaks Amherst Rotary Club.

GIFT AID DECLARATION: We who have given our name and postcode below and who have ticked the box entitled Gift Aid want the Rotary Club of Sevenoaks Amherst on behalf of Macmillan Cancer Relief and Hospice in the Weald to reclaim tax on the donation detailed below, given on the date shown. We understand that each of us must pay income tax or capital gains tax equal to the tax reclaimed by the charities on the donation (currently 28p for every £1 that we give).

Please make cheques payable to Sevenoaks Amherst Cancer Care, if possible on the day, but failing this completed forms should be returned to Derek Williams, Sevenoaks Amherst Rotary Club, 6 Hillydeal Road, Otford, Kent TB14 5RU.

PLEASE WRITE CLEARLY. THIS FORM MAY BE COPIED FOR FURTHER SPONSORS.

Sponsor's FULL name	Postcode	Amount pledged	Amount given	Date given	Gift Aid? Y/N