President Tony's Bus Pass Challenge
Mon, Aug 24th 2015 at 9:00 am - 11:55 pm
Tony Dutch, President of The Rotary Club of Colchester Forum will be travelling the length and breadth of Essex by bus on Monday 24th August using his Senior Bus Pass. His aim is to visit / pass through as many towns & villages with Rotary Clubs
Tony’s Bus Pass Challenge
Sponsorship Form
Sponsorship and Gift Aid Declaration Form
Please sponsor Tony Dutch, President of
Colchester Forum Rotary Club who will be travelling the length and breadth of Essex by bus on Monday 24th August using his Senior Bus Pass. During the day his aim is to visit / pass through as many of the 44 towns & villages, where there is a Rotary Club.
The aim is to raise funds for the Cancer Care Campaign. Thank you.
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Full name (First name and surname) |
Home Address Not your work address (this is essential for Gift Aid) |
Post code |
£ |
Date paid |
Gift Aid? P |
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We, who have given our names and addresses above and have ticked the box headed ‘Gift Aid? (please tick)’, want the charity named above to reclaim tax on the donation detailed below, given on the date shown. We understand that each of us must pay an amount of income tax or capital gains tax at least equal to the tax reclaimed by the charity on the donation.
Once your sponsorship has been collected please return a copy of the form with a cheque made payable to ‘CoHoC ’ to: CoHoC, Fundraising Office, Villa10, Colchester General Hospital, Turner Road, Colchester CO4 5J
For alternative ways to pay in your sponsorship please call 01206 745303