Page 20 - Animal Care Trust - Christmas Catalogue 2015

2015 order form
Remember you can help us save vital funds by ordering online www.rvc.ac.uk/act/shop
Title: ........................................ First name: ................................................................................. Surname: ..........................................................................................
Billing & delivery address: ...........................................................................................................................................................................................................................
...................................................................................................................................................................Postcode: ...........................................................................................
Important - in Tel no: ...................................................................................................................................................... case of queries
about your order Email address: ....................................................................................................................................
The ACT will use the information you provide for administrative and fundraising purposes and to keep you informed about our work. We exchange information with the Royal Veterinary College (RVC), which is separately registered under the Data Protection Act 1998, on condition that the data is only used for the same purposes that the ACT uses the data. We may contact you by post, telephone or e-mail. If you join our email list you agree to us using open tracking to monitor and improve the emails we send you. If you do not wish to receive such information from the ACT or RVC please contact us by e-mail at act@rvc.ac.uk, by phone on 01707 666237 or by writing to us. Neither the ACT nor the RVC will pass on your data for use by third parties, other than to help them provide professional services to us.
Full item code
Product name (& any personalisation)
RVC polo shirt
Quantity
Size (please specify if mens or ladies)
Please continue on a separate sheet if necessary.
Gift Aid Declaration
I would like The Royal Veterinary College Animal Care Trust* to treat as Gift Aid donations all donations I have made:
today in the past 4 years in the future (please tick as applicable)
Signature: ____________________________________Date:____________
*I con rm I have paid or will pay an amount of Income Tax and/or Capital Gains Tax for each tax year (6 April to 5 April) that is at least equal to the amount of tax that all the charities that I donate to will reclaim on my gifts for that tax year. I understand that other taxes such as VAT and Council Tax do not qualify. I understand the charity will reclaim 25p of tax on every £1 that I have given. Please notify us if you want to cancel this declaration , change your name or home address or no longer pay suf cient tax on your income and/or capital gains. If you pay Income Tax at the higher or additional rate and want to receive the additional tax relief due to you, you must include all your Gi Aid donations on your Self Assessment tax return or ask HM Revenue and Customs to adjust your tax code.
I enclose payment of £: ____________ (please do not send cash)
Colour/design
Please advise on a separate
piece of paper if you require delivery to a different address.
Price per item
Cost of goods
Total Price
e.g. CLPSLP
1
Ladies S
Purple
£14.99
£
£14.99
Donation
£
UK P&P
£2.95
GRAND TOTAL
£
I would like to pay by cheque (payable to RVC ACT) or postal order
I would like to pay by credit/debit card Visa Card No
Maestro
Mastercard (we are unable to accept American Express) (The 16 digit number on the front of your card)
Security Code (last 3 nos on the back) Date
Valid From Signature
Expiry Date
/
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Please return this form to:
RVC ACT, Hawkshead Lane, North Mymms, Herts, AL9 7TA
Website: www.rvc.ac.uk/act Email: act@rvc.ac.uk Order line: 01707 666314 Registered charity number: 281571 VAT number: GB 766414220
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