Sponsorship Form

Name of Animal Being Sponsored

Your Details

Title

Forenames(s) (required)

Surname (required)

Address (required)

Town (required)

Postcode (required)

Contact Number

Sponsorship Gift

Is the sponsorship a gift for someone else?

Yes

Please fill in the Recipients Details

Recipient Title

Recipient Forenames(s) (required)

Recipient Surname (required)

Recipient Address (required)
If you want the pack posting to you and not the Recipient, please enter your own address

Recipient Town (required)

Recipient Postcode (required)

If you would like to add a dedication onto the sponsorship certificate, then please enter below. In the absence of any dedication the certificate will name the recipient and the animal sponsored.

Dedication

Gift Aid

If you are a UK tax payer you can help us even more by gift aiding your sponsorship donation. This means that we can reclaim the income tax you paid on the figure you are donating. This is currently 25%, so an extra 25p per pound donated! Please help us make the most of your generosity by gift aiding your donation.

Would you to Gift Aid your donation?

Yes

I want Bleakholt to treat the sponsorship as a Gift Aid donation and the following:

All donations I make from the date of this declaration until I notify you otherwise
All donations I have made in the past 4 years and all donations I make from the date of this declaration until I notify you otherwise

Name (required)

Date (required)

Notes:

If your declaration covers donations you may make in the future, please notify the charity of any change of name or address while the declaration is in force.
You can cancel the declaration at any time by notifying the charity, which will cease the declaration from the date of notification.
You must already be paying, or liable to pay, an amount of income tax and or capital gains tax at least equal to the tax that the charity reclaims an your donations in the tax year.
If in future your circumstances change and you no longer pay tax on your income and capital gains equal to the tax that the charity reclaims, you should cancel your declaration.
If you pay tax at the higher rate you can claim further tax relief in your Sell Assessment tax return.
If you are unsure whether your donations qualify for Gift Aid tax relief, you can ask your local tax office for advice.

Payment Details

Once you have filled in this form and pressed the "Proceed to Checkout" button below, you will be directed to a checkout page where you can pay for your sponsorship. Please don't close the browser window whilst paying

IMPORTANT: So we can make sure your sponsorship payment goes to the correct animal, can you please put the name of the animal you want to sponsor in the 'Animal Name' box of the checkout

Animal Name -