Sponsor a Plank Order Form

Please print out this form and return it with a cheque for £50.00 sterling payable to;-
“THE SWANAGE PIER TRUST”  
Hon Fund Raising Treasurer .  Sponsored Planks  . Swanage Pier .  Pier Approach.
Swanage  . Dorset .  BH19 2AW.   Telephone 01929 427058.
                                            
Please write your message in the grid below using
A MAXIMUM TOTAL OF 30 LETTERS/FIGURES
( spaces and punctuation are not included when counting up )
The grid is only a guide and will not be on the finished brass plaques
The lettering is centered within the two or three rows.
  (The Pier Trust retain the right to refuse wording they consider to be of an unsuitable nature).

The brass plaque measures approx. 148 x 45mm and will be engraved with your message.
Please allow 6 - 8 weeks for your plaque to be laid.
It will be put down in strict rotation.
NO floral tributes are to be left on the Pier
Your co-operation with us on these points is appreciated


Title (Mr, Mrs etc)...........................................................

Forename......................................................Surname............................................................

Address..................................................................................................................................

..............................................................................................................................................

Post Code............................................Telephone No. (include code).........................................

Signature..............................................................Date...........................................................

YES

NO
I am not a taxpayer

If you are a taxpayer you can increase the value of your donation with Gift Aid.
Make your donation worth even more at no cost to yourself. For every pound you donate, we can claim back  28 pence from the Inland Revenue. Just tick the box, it’s that simple..
I would like The Swanage Pier Trust to reclaim the tax on all donations I have made as well as future donations.
To qualify for gift aid, what you pay in Income Tax or Capital Gains Tax must at least equal the amount we claim in the Tax Year.                

Would you also like to order a Certificate?    click

The Swanage Pier Trust is a company limited by guarantee no.1848357 and a registered charity no.290397