Sponsor a Greyhound   I would like to sponsor a greyhound and wish to give “Greyhounds in Need”      (*Circle as appropriate) *£5 per month  *£10 per month  *£25 per month  *Other amount £……per month (not less than £5 per month by Standing Order or £900 one-off payment for one dog for whole 6 months of quarantine, cheque only).   The dog I wish to sponsor is ………………………………(optional) NAME AND ADDRESS  OF YOUR BANK Bank………………………………………………………………….. Address…………………………………………………………………………Post Code………………….. BANK INSTRUCTIONS Please pay the above amount on the same day every month starting on the…………………….until further notice Sort Code……………………  Account Number……………….….Account Holder’s Name……………………... …….   Account Holder’s Address………………………………………………………………..     Post Code………………….. Signature………………………………………………………..Date………………………………… Please return this form to “Greyhounds in Need Shop”, 952 Wimborne Road, Moordown, Bournemouth, Dorset, BH9 2DG (“Greyhounds in Need” use only) To: HSBC, Moordown, (40-13-06) for the credit of “Greyhounds in Need”, Account No. 61305646 REG.CHARITY IN ENGLAND AND WALES  NO. 1069438        Title…………. ……….    Forenames………………………………….………. ..   Surname…………………………………..…… Address……………………………………………………………………………………………………………………...………..….… …………………………………………………………………………………………………...………….Postcode….…..……….       I want the charity to treat all donations I have made since 6th April 2000, including my annual subscription, and all donations I make from the date of this declaration, as Gift Aid donations. I enclose a  donation of £………... I declare that I have paid an amount of income tax and / or capital gains tax at least equal to the tax that the charity will reclaim on my donation  (currently 28p for each £1 which I donate).                                    Signature………..………………………………....         Date……………………….