Playing Fields Footpath Time Capsule
Thank you for offering to sponsor a Time Capsule.
Please complete this form and make your donation within 2 weeks (which makes our administration easier).
Personal Information that you provide will be used only for the purposes of this donation.
Your e-mail address is required to send you a copy of the completed form.  Note: if you have a Google account, Google Forms may fill this in for you and then ask you to fill it in again - our apologies for this glitch.
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電子郵件 *
Which Time Capsules do you wish to sponsor and how many?  
未命名圖片
1
2
3
Pill Box £20 each
1 litre Container £100 each
10 litre Container £500 each
25 litre Container £750 each
Your Name (s) or name of Business/Organisation *
Your phone number(s) if you wish us to contact you about this
How much in total do you wish to donate?  The minimum for sponsoring each item is given in the choices question.  Please simply add up your total.  There are other sponsorship opportunites if you want to give more, but if you intend to donate more than the minimum, simply change the Total *
BANK DETAILS FOR YOUR DONATION
Account Name:
BURWASH WEALD AND COMMON MEMORIAL FUND FRIENDS DONATION
(Note that some online systems limit the number of characters - it should still work)
Sort Code: 20 27 94
Account Number: 43598152
Reference: Caps + your Initials.  
So, if Boris Johnson was sponsoring a capsule, this would be "Caps BJ"

Gift Aid?
If you Gift Aid your donation, HMRC will give us an additional 25% of your donation.  We are allowed to provide £125 of "benefit" to you and this will be offered towards the cost of making and erecting a 'Street Sign".
To qualify for Gift Aid, you must be a UK taxpayer and understand that if you pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all your donations in that tax year it is your responsibility to pay any difference. Please notify us if you want to cancel this declaration, change your name or home address, or no longer pay sufficient tax on your income and/or capital gains.
If you pay Income Tax at the higher or additional rate you can receive additional tax relief.  To do this, you must include all your Gift Aid donations on your Self-Assessment tax return or ask HM Revenue and Customs to adjust your tax code.  
Do you want to Gift Aid your donation?   *
Additional Details ONLY for Gift Aid
If you are Gift Aiding your donation, we need ALL the following information.  Otherwise please scroll to SUBMIT
Declarations.  Do you agree to the following:  
FULL Name of the UK Taxpayer making the Donation.
Your Street Address as registered with HMRC
Your Postcode
系統會透過電子郵件將你的作答內容複本傳送到你所提供的地址。
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