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Please sponsor_____________________________________________

To take part in______________________________________________

Your support can be worth 25% more if you Gift Aid it –


Each year thousands of without costing you a penny! Just put a tick in the Gift
Aid column and write in your full name, home
disabled children and adults address, postcode and date - and we’ll do the rest.
travel to Lourdes with HCPT.
Your support will help them
If I have ticked the box headed ‘Gift Aid? √’, I
enjoy a life changing HCPT confirm that I am a UK Income or Capital Gains taxpayer. I have read this
statement and want the charity or Community Amateur Sports Club
pilgrimage holiday – full of fun (CASC) named above to reclaim tax on the donation detailed below,
given on the date shown. I understand that if I pay less Income Tax / or
Capital Gains tax in the current tax year than the amount of Gift Aid
and laughter. claimed on all of my donations it is my responsibility to pay any difference.
I understand the charity will reclaim 25p of tax on every £1 that I have
given.

Sponsor’s home address. Only needed if


Donation
Sponsor’s full name you are Gift Aiding your donation. Don’t give Date Gift Aid?
Postcode amount
(First name & surname) your work address if you are Gift Aiding paid √
£
your donation.

HCPT, Oakfield Park, 32 Bilton Road, Rugby CV22 7HQ. Tel. 01788 564646
HCPT (Hosanna House and Children’s Pilgrimage Trust) is a registered charity in England and Wales (281074) and in Scotland (SC043743)
Company limited by guarantee registered in England & Wales (1095198)

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