The Mix Sponsorship form (PDF)




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Full name
Event:

Event Date

Address:

Postcode

Help us boost your donation, by gift aiding your payment. This will make your gift go even further – an additional 25p will be added every
£1 donated to The Mix with Gift Aid.
If I have ticked the box headed ‘Gift Aid’, I confirm that I am a UK Income or Capital Gains taxpayer. I have read this statement and want
The Mix to reclaim tax on the donation detailed below, given on the date shown. I understand that if I pay less Income Tax / or Capital
Gains tax in the current tax year than the amount of Gift Aid claimed on all of my donations it is my responsibility to pay any difference. I
understand the charity will reclaim 25p of tax on every £1 that I have given.
Your Gift Aid donation will NOT be valid unless your form is filled out correctly:
1.
Complete your own individual donation.
2.
Add your full name
3.
Complete your home address including postcode.

Full Name

House number/name
(Home address not work)

Post Code

Gift
Aid

Amount
paid



£

Date paid/
collected

Tick to hear
more from
The Mix

£

£

£

£

£

£

£


£



£

Total donations received
Total Gift Aid donations (for office use only) 
The Mix would like to hold your details in order to contact you about fundraising, campaigning and services for young people under 25. If you
would prefer us not use your details this way, please leave the box on the far right next to your details unticked.
Why support The Mix?
The Mix (formerly Get Connected and YouthNet) is a multi-channel advice service designed to support the physical and mental wellbeing of under
25s across the UK. We reach 1.7million young people every year through the technology of their choice. With your help we can continue to support
young people, whatever they face by providing help, information and support - 24/7 throughout the year. Head to www.themix.org.uk to find out
more.

Registered office: 100 Victoria Embankment London EC4Y 0DH
Company registration number: 3031098 (England and Wales)
Charity Registration Number: 1048995

Full Name

House number/name
(Home address not work)

Post Code

Gift
Aid


Amount
paid
£

Date paid/
collected

Tick to hear
more from
The Mix

£

£

£

£

£

£

£

£


£





£





£





£





£





£





£



Total donations received
Total Gift Aid donations (for office use only)
The Mix would like to hold your details in order to contact you about fundraising, campaigning and services for young people under 25. If you
would prefer us not use your details this way, please leave the box on the far right next to your details unticked.

Registered office: 100 Victoria Embankment London EC4Y 0DH
Company registration number: 3031098 (England and Wales)
Charity Registration Number: 1048995






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