BLEAKHOLT ANIMAL SANCTUARY
SPONSORSHIP APPLICATION

Name:      .................................................................................................

Address: .................................................................................................

                 .................................................................................................

                 .................................................................................................

Postcode: .......................................................

Telephone No: .......................................................................................

(Please write your details above clearly as we will use this as an address label)

I/We wish to sponsor ............................................................................

Type of animal: ..............................................

Amount to be paid: £....................................

Please indicate how you would wish to pay:

 

Weekly *

Monthly *

Quarterly *

One off payment

* Please complete also a standing order form to make these payments regularly.

If you are a UK taxpayer, through "Gift Aid" we can claim back the tax you have paid on your donation. This means that for every £10.00 donated we can claim an additional £2.80! All you need to do is complete a "Gift Aid Declaration".

 Dated: ......................................................................... 

Signed: .......................................................................

Please print off and return to:
Bleakholt Animal Sanctuary
Bury Old Road
Edenfield
Ramsbottom
Lancashire
BL0 0RX 

THANK YOU SO MUCH FROM ALL THE ANIMALS