DIANA BRIMBLECOMBE ANIMAL RESCUE CENTRE

Nelsons Lane, Hurst, Nr. Wokingham, Berkshire. RG10 0RR
Tel : 0118 9341122, Fax : 0118 9706762
Web : www.dbarc.org.uk
Registered Charity No. 288473


DBARC PROMOTIONAL SALES ORDER FORM



EITHER complete and send as an email attachment to mail@dbarc.org.uk if you are paying online using the payment methods on the website
Or print and post to the address above if you are paying by cheque

YOUR DETAILS


NAME ....................................................................... ADDRESS ....................................................................... ....................................................................... ....................................................................... POSTCODE ....................................................................... CHRISTMAS CARDS '2008 Design': ........ packs @ £4.00 per pack £_____.___ DBARC CAR STICKER 'Caring for Animals': ........ stickers @ £1.00 each £_____.___ DBARC PIN BADGE (Dog Design): ........ badges @ £1.00 each £_____.___ Postage And Packing: £1.00 per pack cards 50p sticker/badge £_____.___ Donation to DBARC: £_____.___ Total Enclosed: (Cheques Payable to DBARC) £_____.___ OR Date of online payment ................ and total paid £_____.____

GIFT AID DECLARATION
If you have been kind enough to include a donation with your payment, Gift Aid enables us to claim back from the Inland Revenue a percentage of your donation equivalent to the basic rate of income tax, thus enabling your donation to go even further. Please sign the declaration below if it is applicable to you

Please tick and sign one of the statements below:-
  I AM A UK INCOME TAX PAYER	         ..........................................
and I wish the Charity to treat all the donations/subscriptions which I have made since 5th April 2000,
this donation and all future donations/subscriptions as Giftaid donations, until I notify you otherwise.
Please note that you must pay an amount of UK Income Tax or Capital Gains Tax equal to the tax deducted from your donations
for your gift to be eligible for Giftaid.
  I AM NOT A UK INCOME TAX PAYER	..........................................