Sponsorship form Insert event name here Insert event date here Brain tumours are the largest cancer killer of children and adults under 40, yet they receive less than 2% of funding on cancer research and survival times have improved little over the last 40 years. The Brain Tumour Charity is at the forefront of the fight to defeat brain tumours, making a difference every day to the lives of people with a brain tumour and their families. It funds pioneering research to increase survival, raises awareness of the symptoms and effects of brain tumours and provides support for everyone affected to improve quality of life. The Charity’s goals are to double survival within 10 years in the UK and to halve the negative impact that brain tumours have on quality of life. Find out more at: thebraintumourcharity.org Name Address Please help me to make a difference by sponsoring me today Please Gift Aid your donation so we can claim Gift Aid tax relief of 25p on every pound you give – at no extra cost to you. Just tick the box on your sponsorship line and don’t forget to give your full home address and postcode. If I have filled in the box headed ‘Gift Aid? √ or X’, I confirm that I am a UK Income or Capital Gains taxpayer. I have read this statement and want the charity or CASC named above to reclaim tax on the donation detailed below, given on the date shown. I understand that I must pay an amount of Income Tax and/or Capital Gains Tax in the tax year at least equal to the amount of tax that all the charities and CASCs I donate to, who 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 25p of tax on every £1 that I have given. Home address (please give your full address or we can’t claim Gift Aid) Postcode (essential for Gift Aid) Gift Aid? √ or X Amount paid Tick if you don’t want to hear more about The Brain Tumour Charity Ms A Sample 1 Sample St, Sample Town SM1 1SM £10.00 £ £ £ £ £ £ £ £ £ £ Subtotal (this page) £ Subtotal (other pages) £ GRAND TOTAL £ Date money sent to The Brain Tumour Charity: © The Brain Tumour Charity 2015. Registered Charity No. 1150054 (England and Wales) SC045081 (Scotland). Are you online? Set up an online sponsorship page at justgiving.com/thebraintumourcharity and share it via email, Facebook and Twitter. You can also set up a text number to get donations rolling in!