Take Your Seat - Gift Form

Take Your Seat!

Donation Form Personal Details

Gift Aid Declaration (Please complete this section if you are a UK taxpayer)

Title:

First Name:

House: (Where applicable)

Surname: If you are a UK taxpayer, we can reclaim tax on your donations of 25p for every £1, at no further cost to you.

(Please sign and date below)

Years at Roedean:

I would like Roedean School to reclaim tax on all donations that I have made in the past four years and all future donations, until I notify you otherwise:

Address:

Signature:

Date: Post Code: Telephone: Email: Please tick here if you are happy for your contact details to be used for future fundraising communications

My Gift Take Your Seat Appeal.

I confirm that I have paid or will pay an amount of Income Tax and/ or Capital Gains Tax for each tax year (6 April to 5 April) that is at least equal to the amount of tax that all the charities or Community Amateur Sports Clubs (CASCs) that I donate to will reclaim on my gifts for that tax year. I understand that other taxes such as VAT and Council Tax do not qualify. I understand the charity will reclaim 28p of tax on every £1 that I gave up to 5 April 2008 and will reclaim 25p of tax on every £1 that I give on or after 6 April 2008.

Please notify Roedean School if you want to cancel this declaration, if you wish to change your address or if you no longer pay sufficient tax on your income and/ or capital gains.

or I would like my gift to support (please specify project or department) If you pay tax at the higher or additional rate and want to receive the additional tax relief due to you, 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.

Data Protection: Information provided will be held securely by Roedean School Alumnae Relations and Development Office, and used for effective postal, e-mail and telephone communications with donors and supporters. This will include publications, invitations to events, and information about the school and its activities. Information will not be disclosed to any third party, other than those acting as agents for the Alumnae Relations and Development Office. If you do not want your information to be used in this way, please contact the Alumnae Relations and Development Office on 01273 667398, or e-mail alumnae@roedean.co.uk.

Your Gift

Signature

I wish to make a gift of: £5,000

£1,000

£500

£250

£200 Date:

Other: £

Donor Acknowledgement

Single Gift

Roedean School would like to acknowledge donors in published materials and online. Please let us know how you would like your name(s) to appear:

I wish to make a single gift by: Cheque (please make cheque payable to Roedean School) Credit/debit card (Please complete the form below)

I wish to remain anonymous.

I authorise you to debit my account with the sum of £ If you are sponsoring a seat, please indicate the name of inscription you would like:

Card Type: Cardholder’s Name: Card Number:

I will confirm this at a later date Start Date:

Expiry Date:

Issue Number:

Security Number:

Further Details I would like to: Receive information about other ways of giving.

Have a confidential discussion with the Development Office.

Regular Gift

Receive information about remembering Roedean School in my will.

I wish to make my gift through my daughter’s school bill.

Please split my gift across 1 Daughter’s Name: Daughter’s Current Year:

2

3

terms (tick as applicable)

Please return this form to: The Development Office, Roedean School, Roedean Way, Brighton. BN2 5RQ. or glc@roedean.co.uk T: +44 (0) 1273 667398 www.roedean.co.uk

Thank You