Lambourn RDA
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Pony Adoption Form

 

Please fill in this form and print it out.

Send it with your cheque for £15.00 made out to Lambourn RDA to :

Jane Adamson, Winsford Cottage, Back Street, East Garston, Hungerford, Berkshire, RG17 7EX.

 

Your Name:

 

 

 

Your Address:

 

 

 

 

 

 

 

Postcode:

 

Name of certificate holder ( if different): 

 

 

 

Your relationship to Certficate Holder

 

Address of certificate holder (if different): 

 

 

 

 

 

 

 

Postcode: 

 

Your Telephone Number: 

 

 

If the adoption is required for a special date please specify: 

 

Name of pony you wish to adopt :

 

Your E-mail Address:  

 

 

If you want a special message to be included please enter it here?

 Eg:"Happy Birthday"  

 

Is this a renewal Adoption?

Yes / No  

 

 

GIFT AID

As a registered Charity, Lambourn RDA is able to treat the Adoption Fee as a donation, and to reclaim the notional tax under Gift Aid. We would be extremely grateful if you would complete the Gift Aid Declaration below, which will enable us to do this.

Completing this declaration does not mean that you will have to pay any additional tax.

 

Please ensure that you complete the Gift Aid Declaration in full.

 

GIFT AID DECLARATION

(Please complete this Declaration using Block Capitals) 

I (First name and surname of the DONOR) ........................................................................................................................................................................

of (address) .............................................................................................................................................................................

                .............................................................................................................................................................................
          
              ....................................................................................................... Postcode .......................

declare that I have made a donation to Lambourn RDA (Charity No. 1145104) of £__________ * and wish it to be treated as a Gift Aid donation. I confirm that I pay an amount of Income Tax or Capital Gains tax at least equal to the tax that Lambourn RDA will reclaim on my donations in the tax year.

 

*Enter the amount of your donation, e.g. £15, £30, or such donation that you have given.

 

 

Signed …………………………………………………………………………………….. Date of Payment………………………………….

Registered Charity 1145104
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