donation form - powerlist foundation 2015

Powerlist Foundation, registered charity in England and Wales (1138699) A company limited by guarantee. Registered company in England and Wales (7082850). Registered office: Powerlist Foundation, c/o Powerful Media Ltd 2nd Floor, Cumbrian House, 217 Marsh Wall, London E14 9FJ

Please use this form to make a donation

You can donate online http://www.justgiving.com/powerlistfoundation

You may also TEXT to donate Text PLID14 10 to 70070

Please make cheques payable to Powerlist Foundation and return this form with your gift to:

Powerlist Foundation, c/o 10 Westbury Road, Penge, London, SE20 7QL

Thank you for Sharing Success with Tomorrows Leaders

Make your gift worth even more, without costing you a penny. Do you pay tax? If so, by simply completing this form the tax office will give us 25p for every 1 you donate.

I am a UK tax payer and I would like the Powerlist Foundation to treat all donations I have made for the four years prior to this year and all donations I make in the future as Gift Aid donations until I notify you otherwise. I understand that I must have paid an amount of income tax and/or capital gains tax for each tax year (6 April one year to 5 April the next) that is at least equal to the amount of tax that Powerlist Foundation claims on my donations for that tax year.

Full name Date

I would like to donate

Title (Mr/Mrs/Miss/Ms/Other)* Name*

Home address*

Postcode* Telephone number

Email address

* Fields marked with an asterisk must be completed

Please let us know if your circumstances or address details change so that we can amend our records.

One off/two years/three years/until further notice