/ The
Ashover Light Railway
Society
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Café Appeal Donation Form
Donors will receive the following depending on the amount donated:-
  • £25 or over - special certificate designed by Eric Leslie
  • £50 or over - framed copy of the Eric Leslie certificate.
  • £100 or over - certificate and signed limited edition print featuring the café.
  • £250 or over - framed certificate and framed print.
  • £500 or over - all the above and donor’s name will go on a special commemorative plaque inside the rebuilt café.
  • £1000 or over - the above plus an invitation to the official reopening celebrations.
Name of Donor(s) : ......
Address : ......
......
...... Postcode......
Phone : ......
email address : ......
SINGLE DONATION BY CHEQUE OR POSTAL ORDER
I enclose a cheque/postal orders for £ ...... (Many thanks)
Signature : ...... Date : ......
BANK STANDING ORDER
If you would like to set up a standing order payment into the Society’s bank account please request a form from the Treasurer at the address at the foot of the opposite page.
The Ashover Light Railway Society is a registered charity no. 1129958.
Registered as a company limited by guarantee in England no. 06877968.
Registered address: 165 Longedge Lane, Wingerworth, CHESTERFIELD, Derbyshire, S42 6PR / Gift Aid Declaration (Optional) /
The Ashover Light Railway Society is registered for Gift Aid with H M Revenue and Customs. If you pay UK Income Tax the Society can reclaim the tax on qualifying subscriptions and donations. This means that for every £1 you give, it is currently worth £1.28 to the Charity and provides us much needed cash for our future projects. PLEASE HELP US FURTHER – AT NO COST TO YOU and take few extra minutes to complete this part of the form.
Name of Charity : The Ashover Light Railway Society
Name : ......
Address : ......
......
...... Postcode......
I would like The Ashover Light Railway Society to reclaim tax on all qualifying subscriptions and donations made from 1st August 2009 until further notice. I confirm that I am a UK taxpayer and that I have paid an amount of income tax and/or capital gains tax in this tax year at least equal to the tax reclaimed by The Ashover Light Railway Society.
Signature : ...... Date : ......
Please notify the Charity if you :-
(a)Want to cancel this instruction.
(b)Change your name or home address.
(c)No longer pay sufficient tax on your income or capital gains.
Tax claimed by the Charity
  • The Charity will reclaim 25p of tax on every £1 you give.
  • The Government will pay to the charity an additional 3p on every £1 you give between 6th April 2009 and 5th April 2011. This transitional relief for the Charity does not affect your personal tax position.
If you pay income tax at the higher rate you can benefit too. You must include all your Gift Aid donations on your Self Assessment tax return if you want to receive the additional tax relief due to you.
Please return this completed form and Gift Aid Declaration (if applicable) with your remittance to :-
THE TREASURER
THE ASHOVER LIGHT RAILWAY SOCIETY
14 FERN LEA
SHIRLAND
ALFRETON
DERBYSHIRE
DE55 6EP