20 years of... raising awareness, support, screening and research

HEAD OFFICE: Unit 1140B The Axis Centre, Cleeve Road, Leatherhead, KT22 7RD

Please sponsor:(First Name)(Last Name)

(Home Address)(Postcode)

To take part in the

CRY Heart of London Bridges Walk 2015

Sunday 28th June 2015

In memory ofTeam Name

The person above has agreed to take part in the named event in aid of Cardiac Risk in theYoung (CRY). Your kind support will be of great value to our charity’s aims.

Every week in the UK at least 12 apparently ‘fit and healthy’ young people (under 35) die of undiagnosed heart conditions. That is 600 deaths a year and this is likely to be a conservative estimate.

Help CRY prevent these tragedies

CRY raises awareness of young sudden cardiac death (YSCD) and offers support to families who have been affected by this. CRY runs a number of regular screening clinics and mobile heart testing programmes within local communities and also contributes to medical research.

IMPORTANT NOTICE TO SPONSORS:

HELP THE CHARITY MAKE MORE OF YOUR MONEY

– AT NO COST TO YOU!

Use Gift Aid to make your donation worth more at no cost to yourself!

By completing your full name, HOME address and POSTCODE below and ticking the GIFT AID box on this sponsor form, to indicate that you want the charity to reclaim tax on your donation, CRY can reclaim tax at the basic rate.

For your donation to qualify for Gift Aidyou must pay an amount of Income Tax and/or Capital Gains Tax for each tax year (April 6 to April 5 of the following year) 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 your gifts for that tax year. Other taxes such as VAT and Council Tax do not qualify. The charity can reclaim 25p of every £1 that you give if you are eligible. If your situation changes and you no longer pay tax, you must notify the charity for future donations. If you are a higher rate taxpayer, you can claim additional tax relief via your tax return by including all of the Gift Aid donations.

NB. We cannot claim Gift Aid in certain circumstances, so please take care when completing this form:

  • DO NOT use work addresses
  • DO provide your full name
  • DO include a full postcode
  • DO NOT send Building Society or Bankers cheques without a covering explanatory note detailing the origin of the donation/donations
  • DO NOT use ditto marks if the information is the same as a previous sponsor.
  • DO NOT pay with a company cheque

In accordance with the Data Protection Act, the charity will only use your details for the purpose of this tax reclaim

Cardiac Risk in the Young

CRY Heart of London Bridges Walk 2015, Sunday 28th June 2015

Name:______has agreed to take part in the Bridges Walk 2015 in aid of Cardiac Risk in the Young (CRY).

Your kind support will be of great value to our charity’s aims.

First Name/Initials
PLEASE PRINT IN CAPITALS / Last/Family Name
PLEASE PRINT IN CAPITALS / Full HOME Address (including house name/number)
PLEASE PRINT IN CAPITALS / Post
Code / Tick for
Gift Aid / Date
Paid / Donation
£