AGS PitchIN Pledge Form

BANK TRANSFER DETAILS Account Name: Aylesbury Grammar School Sport Campaign Reference: (Your initials and Surname) Pitch In

United Kingdom Donations Sort Code: 30 90 38 Account Number: 28310368

Overseas Donations Swift Code: LOYDGB21089 IBAN: GB03 LOYD 3090 3828 3103 68 Please contact Alison Cox, Development Director or Hamble Russell, Development Officer to notify us of your donation. acox@ags.bucks.sch.uk or hrussell@ags.bucks.sch.uk

PLEDGE FORM CONTACT DETAILS

GIFT AID DECLARATION

FULL NAME

As a recognised charity, all gifts made by UK taxpayers to Aylesbury Grammar School can be augmented by Gift Aid, which increases the value of your gift by 25% at no extra cost to you.

ADDRESS POSTCODE

Gift Aid can greatly increase the total donation that the School receives, but tax relief can also reduce the net cost of the donation to you.

EMAIL

I would like to GiftAid my donation of £_______ and any donations I make in the future or donations I have made in the past 4 years to Aylesbury Grammar School.

MOBILE CONNECTION TO THE SCHOOL

I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of GiftAid claimed on my donations, it is my responsibility to pay any difference.

PLEDGE DETAILS

SIGNED

PLEDGE AMOUNT

To make regular gifts to Pitch In, you can either fill in this form, completing the Standing Order section and we shall shall set up the payments for you or, use the School’s Bank Details on the reverse of this form and make a bank transfer donation online.

NUMBER OF INSTALMENTS DATE OF INSTALMENT(S)

Please pay: Lloyds Bank, 1 Market Square, Aylesbury, HP20 1TD, Sort code 30 90 38 for the credit of “AGS Pitch In” Account number 28310368

PRINT NAME

PAYMENT METHOD REFERENCE

(Your initials and Surname) Pitch In

SIGNED