THE RACEHORSE SANCTUARY

& Re-homing Centre

THE RACEHORSE SANCTUARY AND RE-HOMING CENTRE • The Stable Yard•Stilemans•Munsted•Godalming•Surrey• GU8 4AB

Registered Charity Number 1117361

The Racehorse Sanctuary is a unique establishment offering not only rehabilitation and a second chance in a new career for sound, promising ex-racers but also offering retirement, either on site or in companion homes around the country. Vitally this is for Thoroughbreds who, through no fault of their own, have no future as a riding horse.

By contributing through our support group you will help us to secure a future for Thoroughbreds who may otherwise be destroyed due to a lack of time, funds or understanding . These highly strung but also highly rewarding horses have given so many so much pleasure during their racing career.

To become a member of The Racehorse Sanctuary support group from only £10 per month simply complete sections one and two of this form, return section one (Details of Donor) to us at the address above and hand section two (Standing Order Mandate) to your bank/building society branch. Alternatively complete section one and return the entire form along with a cheque for your subscription.

Membership of the support group will entitle you to receive quarterly newsletters, invitations to open days and fundraising events and much more.

THANKING YOU IN ANTICIPATION OF YOUR SUPPORT

SECTION ONE – DETAILS OF DONOR

Full Name (inc. Title:______Telephone Number:______

Address:______Post Code:______

Signed:______Date:______

Amount of Subscription:£______Frequency: *Monthly / Quarterly / Annually (*Delete as applicable)

Subscription Method: Standing Order / Cheque / Cash / Other:______

"Registered Charity Number 1117361”. We are entitled to claim Gift Aid on all donations that we receive, and therefore able to claim approx. 28p in the pound on this subscription. Please read and sign the declaration below if you would like us to be able to claim Gift Aid on this and any future donation you make to The Racehorse Sanctuary.

N.B. You MUST pay an amount of Income Tax and/or Capital Gains Tax at least equal to the tax that the charity reclaims on your donations in the appropriate tax year. (Currently approx. 28p in each pound)

GIFT AID DECLARATION

I want the charity to treat: (Delete as applicable)

1)The enclosed donation of £______as a gift aid donation.

2)The donation(s) of £______which I made on the ___/___/_____ as (a) gift aid donation.

3)All donations that I make from the date of this declaration until I notify you otherwise, as a gift aid donation.

4)All Donations that I have made for six years prior to this date AND all donations that I make from the date of this declaration until I notify you otherwise, as gift aid donations.

Please Note: A) You can cancel this declaration at any time by notifying the charity. B) If in the future your circumstances change and you no longer pay tax on your income and capital gains equal to the tax the charity reclaims, you can cancel your declaration. C) If you pay tax at the higher rate you can claim further tax relief in your self-assessment tax return. D) If you are unsure whether your donations qualify for Gift Aid ask the charity or refer to help sheet IR65 at E) Please notify the charity if you change your name or address.

If you have any queries regarding this form or experience any difficulties in completing it, please contact us on the details given above



SECTION TWO – STANDING ORDER MANDATE (Please give to your Bank/Building Society)

To The Manager:Bank/Building Society:______

Address:______Post Code:______

Sort Code:______Account Name:______Account Number:______

Please set up the following Standing Order and debit my/our account accordingly:

Account Name: THE RACEHORSE SANCTUARY LTD Account No: 03592497 Sort Code: 30-94-41

Bank: LLOYDS TSB Amount: £ ______Date of First Payment: _____/_____/______

Frequency: * Monthly / Quarterly / Annually (*Delete as applicable)

Date of Final Payment:_____/_____/______/ Or Until Further Notice

Reference:______(to be quoted on Bank Statement)

Please cancel any previous standing orders to The Racehorse Sanctuary

Signed:______Date:______