ST PETERS IVER FOOTBALL CLUB

c/o Nick Jones, Elmwood, 11 North Park, Richings Park, Bucks, SL0 9DH

Tel 01753 650811

ANNUAL DONATION FORM

SEASON 2010 / 2011

I/We would like to make a donation towards the kits, equipment, pitch hire, and other costs of the Saturday morning football sessions.

Please consider that the club running costs for a season are approx. £5,500.

Suggested minimum donation £25 per child.

Parent’s name  _______________________________

Child’s name    _______________________________

Age Group      U6  /  U8  /  U10  /  U12  /  U14  /  U16

Amount donated   £ _____________    Cash   /   Cheque       

Date  _________________

Cheques should be made payable to St Peters Iver FC

“DON’T FOREGT TO GIFT AID YOUR DONATION”

      Gift Aid declaration completed (Please turn over)?         Y/N

Thank you for your support.

St Peters Iver Football Club

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