Gambado Children’s Party in aid of Great Ormond Street Hospital Children’s Charity

6 October ticket application formYes, I would like to attend the party from 9am–2pm (parents with under fives)

Your detailsTitle

Payment detailsI would like to buy ticket(s) at £40 each plus additional child/adult ticket(s) at £10 each (one ticket = one adult and one child).

Surname

First name

No, unfortunately I am unable to attend but I would like to make a donation to support Great Ormond Street Hospital Children’s Charity. I wish to donate:

Please note that Charities Aid Foundation vouchers and charitable trust cheques are accepted for donations. Please make cheques payable to Great Ormond Street Hospital Children’s Charity or alternatively provide your credit card details overleaf.

£50 £100 £250 Other £

Address

Email (your e-ticket will be sent to this email address)

Please tick the box to let us know you are happy to receive updates on our work and special events by email . From time to time we may write to let you know about our special events. If you would prefer that we do not contact you by post please let us know.

Postcode

Please return to:Special Events TeamGreat Ormond Street Hospital Children’s Charity40 Bernard StreetLondon WC1N 1LE

E-tickets will be sent out to guests by 28 September. In the unlikely event that your tickets have not arrived by this date or if you have any queries, please contact Sinead O’Callaghan on 0207 239 3116 or email sinead.ocallaghan@gosh.org Please note that tickets are non-refundable.

©2007 Great Ormond Street Hospital Children’s Charity. Registered charity no. 235825. GOSH01382_1

I enclose a cheque for £ made payable to Great Ormond Street Hospital Children’s Charity. Please note that CAF cheques cannot be used as payment for tickets but can be used to make a donation to the charity.

Amount payable for tickets £

Donation £

Total amount payable £

If you are making a donation, please consider helping us to increase your donation by signing the Gift Aid declaration below.

For office use only

Campaign code

Appeal code

EV1712

TT11

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Name as it appears on card

Important legal information So that we can reclaim the tax on your donation from the government we have to ask you to tick the box below to indicate that you are happy for all donations you make to Great Ormond Street Hospital Children’s Charity since 6 April 2003 to

be treated under the Gift Aid system. As this also covers any donations you may make in the future it would be great if you could notify us if you move house or change your name. We would also need to know if you stop paying Income Tax or Capital Gains Tax for any reason, as you have to pay both of these in excess of the amount of tax we claim for your donation to be eligible for Gift Aid. You can of course cancel your declaration at any time by contacting us and from this date Gift Aid will not be applied to any donation you make.

I give permission for Great Ormond Street Hospital Children’s Charity to reclaim tax on all of my donations in the future and over the past six years.

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