To make use of this form download from this psge.

F.A.C.E

 

(supporting cancer patients and their carers in Edinburgh, Fife, Lothians and the Borders of Scotland)

 

  sponsorship form

 

Event

 

Name of participant

 

Your tick can help to raise even more money :-

If your sponsorship donation is from taxed income, please place a tick in the box provided. The charity will then be able to reclaim tax on your donation from the Inland Revenue at no cost or inconvenience to you. For each £1 you donate an additional 28p can be claimed.

Sponsor's Name

Home Address

Town

Post Code

£

Gift Aid

Paid

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

    Sub total………….

  Total Money Raised……………………

When complete return this form together with all sponsor money to FACE, c/o F Taylor, Ward 2, Western General Hospital,

Crewe Road, Edinburgh, EH4 2XU