AGSB Annual Fund

Pupil Forename* Pupil Surname* Registration Form: (If Known)

Contact Information

This form should be completed by the person submitting the form and Gift Aid Declaration (if applicable).

Title* First name* Surname* House No./Name* Road* Town* County* Post Code* Email Address* Contact Telephone Number*

Donation

Please confirm the monthly total donation you wish to make. For example for just £1 day (£30 month) you will be contributing £360 annually to the fund.*

gift aid

With Gift Aid we can claim a further 25% back from the Government turning your £360 donation into £450. Please confirm your Gift Aid wishes below. (Please note you must be a UK taxpayer to consent to this.)*YesNo

Once you have completed this form and we have processed the information, we will contact you to arrange the Direct Debit.

Your support is very much appreciated and together we are stronger.