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Order Form

I/we wish to purchase the following gifts: Price Quantity Total £48 Bicycle Blanket Pack £12 Brazier & Charcoal £10 Coloured Pencils £12 Crayons £8 Erasers £13 Exercise Books £8 Flip Flop Pack £12 Food Parcel £15 Mosquito Net £10 Notebooks £8 Pencils £6 Pens £8 Rulers £12 Teacher Pack £16 Textbooks £25 Water Purification £33 Donation Total

Personal Details

Gift Aid Information

Name

I would like Beyond Ourselves (Reg. Charity No. 802107) to treat all donations I make as Gift Aid donations until further notice.

Address

Postcode Telephone Email Signed Date

Please send complete form to: Beyond Ourselves c/o Stephen James Lincoln Road Enfield, EN1 1SP

Account Name: Charlotte (Number 2) Trust Address: Barclays, 1250 High Road, Whetstone, London, N20 OPB Enclosed is a cheque Sort Code: 20-95-61 If you would like to pay by debit or credit card, please visit our Account Number: 20226971 Reg. Charity No. 802107 website to place your order: www.beyondourselves.co.uk.

Name Address

Postcode Please Gift Aid all my donations as I pay income tax

Gift Aid Information 1. As your declaration covers donations that you will make in the future, please notify us if you change your name and address while the declaration is still in force. 2. You can cancel the declaration at any time by notifying us. It will then not apply to any donations you make on or after the date you specify. If, in the future, your circumstances change and you no longer pay tax on your income or capital gains tax equal to the tax we reclaim you can cancel your declaration. 3. You must pay an amount of income tax and/or captial gains tax at least equal to the tax that we reclaim on your donations in the tax year. This is currently 25p for each pound that you give. 4. If you pay tax at a higher rate, you can reclaim tax relief in your self-assessment tax return. If you are unsure whether your donations qualify for Gift Aid tax relief, please contact us. You can also receive the leaflet IG113 Gift Aid from your local tax office.

Please note all of the prices for the alternative gifts include a small contingency to allow for fluctuating currency rates. If there is a small surplus from your gift, we will ensure this money goes towards the schools we support in Zambia.

If you would like to sponsor a child, or would like to sponsor a child as a gift to someone else, please tick here!


Alternative Gifts Leaflet