Please Use This Form When Sending in Money to Us. Thank You

Sponsor form
Your Name: ______
Your Address: (inc postcode):______
______
Event Title: ______
Event Date:______
Don’t forget to tick the gift aid box and quote a postcode.
It doesn’t cost you any extra but allows Alex’s Wish to reclaim the tax on your donation. Thank you.
We can claim Gift Aid tax relief of 25p on every pound you give. To qualify for Gift Aid, what you pay in income tax or capital gains tax must at least equal the amount that the charity will reclaim on the donation. /
Initial / Surname / Home address
(We need this and your postcode to claim Gift Aid) / Postcode / Amount pledged / Amount received / Tick here for Gift Aid It

Thank you. We are raising money to find a cure or better treatments for Duchenne Muscular Dystrophy. 100% of profits made will be directed to world-class research projects to help Alex and the thousands of other children living with this terrible muscle wasting disease. Alex’s Wish is a Registered Charity, Registered Charity Number: 1148845.

Please use this form when sending in money to us. Thank you.

Complete the following form and send in with your sponsor form(s):

Name: ______

Address: ______

Tel: ______Mobile: ______

Email: ______

Event name: ______

Date of your event: ______

My BT Donate page is (if applicable)______

Please note: Any funds you raise via BT Donate will automatically be paid into the Alex’s Wish bank account. If you have set-up a BT Donate page and you are sending in money via the printed sponsorship form, we will send you a certificate of thanks totalling the whole amount raised.

Ways to pay:

Please do not send cash.

By Cheque: send cheques made payable to ‘Alex’s Wish’ along with your sponsor form(s) and form above to the address below.

By Bank Transfer: Please quotes a reference number – ideally your name (as it appears on to the top of your sponsor form) so we know where the funds have come from.

Bank: Natwest

Account: Alex’s Wish

Sort code: 54-21-50

Account No. 30282950

Alex’s Wish office:
Emma Hallam
Events & Marketing Director
Alex’s Wish
5 Oldfield Lane
Rothley
Leicestershire
LE7 7QD

Thank you so much for your support. We really do appreciate it.

We will send you a receipt and thank you letter upon receipt of your funds.

Emma & Andy Hallam – Founders of Alex’s Wish and Parents to Alex