the donation form

Transcription

the donation form
Sponsorship/Donation Form
(In France, making a donation means you are eligible for a reduction of 66% of the amount on your
income tax up to 20% of taxable income (art. 200 or CGI), check conditions in your own country)
Surname/First name
Address
Telephone number
Home
Mobile
Email
I would like to:
¾ Sponsor the school
o 20 €*/month
o 30 €/month
o 50 €/month
o … €/month
¾ Sponsor a pupil
o 30 €/month
o 50 €/month
o … €/month
¾ Make a donation to the association
o …….€
¾ Become a member of the association
o 20 €/year
Date and signature
*1€ is equivalent to approx: 1.5USD or O.8 GBP
Sponsorship payments will be paid monthly by bank transfer. Please complete and return the direct debit
authorisation on page 2. (In France, please return it accompanied by a relevé d’identité bancaire (RIB)).
Sponsorship, both of the school and of a pupil requires annual membership to the association. We require
a membership fee of 20€ in order to cover the logistical costs of sponsorship.
Donations and association membership should be paid separately by cheque made payable to “Toutes à
l’école” and sent to the address below. For paypal details, contact the association.
“Toutes à l'Ecole”
Not for profit Association according to 1901 Law
Postal address: 9, rue Cail, 75010 Paris, France Tel: +33(0)1 30 54 56 05
Website: www.toutes-a-l-ecole.com Email: [email protected]
No SIRET 487 807 786 00016
National N° of
Direct Debit Authorisation
requesting
i ti
I authorise the establishment holding my account, on the condition that
508568
there are sufficient funds therein, to debit the amount of …………….€ as
my monthly commitment to the Association “Toutes à l’école” as specified
on page 1 of this donation form. If a payment should be disputed, I
reserve the right to cancel it with an immediate verbal request to the
establishment holding my account.
SURNAME, FIRST NAME AND ADDRESS OF PAYEE
NAME AND ADDRESS OF
« Toutes à l'Ecole »
Association loi 1901 à but non lucratif
17, avenue Du Dr Arnold Netter
75012 Paris
Email: [email protected]
ACCOUNT TO BE DEBITED
Account number and
sort codes
NAME AND ADDRESS OF BANK/BUILDING
SOCIETY
Bank, bic or swift
codes
SIGNATURE:
“Toutes à l'Ecole”
Not for profit Association according to 1901 Law
Postal address: 9, rue Cail, 75010 Paris, France Tel: +33(0)1 30 54 56 05
Website: www.toutes-a-l-ecole.com Email: [email protected]
No SIRET 487 807 786 00016

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