Safe Haven Application Form - Little Valley Animal Shelter

PLEASE COMPLETE IN BLOCK CAPITALS
Name of bank
Address of bank
Name of account holder(s)
Please pay RSPCA Little Valley Animal Shelter the amount of
RSPCA Little Valley Animal Shelter
Black Hat Lane, Bakers Hill
Exeter, Devon
EX2 9TA
£
❯❯❯ PHONE: 01392 439898
Account no QQQQQQQQ
Bank sort code QQQQQQ
Your sort code can be found
on your cheques or bank card.
monthly starting on (date)
/
/
NB: please use date at least one month later than today’s date
❯❯❯ WEBSITE: www.rspca-littlevalley.org.uk
And each month thereafter until further notice.
Signature
Date
BANK USE ONLY
Please pay to the RSPCA Little Valley Animal Shelter
Royal Bank of Scotland
Account no. 00823295
Sort code 56-00-49
Please quote our ref Safe Haven
Cheque or postal order
I enclose a cheque/postal order for £
made payable to RSPCA Little Valley Animal Shelter.
Gift Aid declaration
If you are a UK tax payer please allow the RSPCA to reclaim 25p on
every £1 you donate at no extra cost to you. Please treat as Gift Aid
donations all qualifying gifts of money made.
Q In the past 4 years, today and in the future OR
Q from today and in the future
Illustrations: Beastfromeast/iStockphoto. Photos: Joe Murphy x2, Phillip Toscano x2.
Contact us
Postcode
Sponsor
THE LIVES OF
LOCAL ANIMALS
Please sponsor a dog kennel, cat pen
or rabbit run and make a difference!
HELP US PROVIDE A SAFE HAVEN
FOR ANIMALS IN OUR CARE
I understand I must have paid or will pay an amount of income tax and/
or capital gains tax in each tax year (6 April to 5 April) that is at least
equal to the amount of tax that all the charities I donate to will reclaim
for that tax year. I also understand that other taxes such as VAT and
Council Tax do not qualify.
Signature
Date
OR Q I am not a UK tax payer
If your circumstances change and you no longer pay tax or capital gains, you can cancel your
declaration by notifying us.
RSPCA Little Valley Animal Shelter
Royal Society for the Prevention of Cruelty to Animals
The RSPCA helps animals in England and Wales.
The RSPCA only exists because of public donations. An RSPCA in-house publication 12.11
011111
RSPCA Little Valley Animal Shelter, Black Hat Lane, Bakers Hill, Exeter, Devon EX2 9TA
Registered charity no. 205154 Tel: 01392 439898 www.rspca-littlevalley.org.uk
❯❯❯ www.rspca.org.uk/safehaven
Yes, I’d like to become
a Safe Haven sponsor
How do I sign up?
Every year RSPCA Little Valley Animal
Shelter cares for around 700 animals that may have
been abused, neglected or abandoned. We need your
help to continue to look after and rehabilitate these
animals before we can find them loving new homes.
By sponsoring a dog kennel, cat pen or rabbit run, you will be
helping the lives of not just one animal but the many animals that
spend time with us. Signing up is easy, whether you want to do it
for yourself, as a gift for a friend or in memory of a loved one. All
you need to do is complete this form – it will only take you two
minutes to complete, but your support will have an impact for
many years to come.
Support abused, abandoned or neglected animals
What is Safe haven?
You can sponsor a dog kennel, cat pen or rabbit
run which provide a safe environment for abused,
abandoned or mistreated animals. With Safe
Haven you won’t be helping just one animal,
you’ll be sponsoring the lives of all who pass
through our animal centre every year.
What will my sponsorship go towards?
Your sponsorship will go towards the animals’ care, rehabilitation
and medical treatment. While they are in our care we give them
a safe haven – we make sure they feel loved and secure by caring
for their physical needs as well as giving them regular exercise
and company.
Our Safe Haven thank you
We will reward your kindness by:
O displaying your name on a plaque on the
Safe Haven noticeboard at our animal centre
O sending you a newsletter
O giving you a unique Safe Haven certificate.
❯❯❯ We rely on donations and without
your generosity we simply wouldn’t
be able to provide the support
the animals need.
YOUR BRANCH SPEND THOU
SANDS OF POUNDS
L ANIMALS
A MONTH CARING FOR LOCA
FOR ME Q
Title
Address
AS A GIFT Q
IN MEMORY OF Q
First name
Surname
Postcode
Daytime phone no
Email
Where did you hear about Safe Haven?
We would also like to:
i. keep you updated with the RSPCA’s activities and how you may be able to help us
to help animals. Any telephone number or email address provided is not essential for
processing your support by monthly direct debit for example but it does mean we can
contact you about the full range of RSPCA’s activities in the way you would prefer.
If you agree to be contacted in this way, please tick the relevant boxes:
QEmail QTelephone QPost
ii. share your details with other charities, or our carefully chosen partners whose offers will
benefit animal welfare, so that they may send you information about their products and services,
by post. If you agree to your information being shared this way, please tick this box Q
If you are sponsoring in memory of a pet please write the name and
short message below
Pet’s name
Message
In the life of...
Buzz
Buzz was knocked down by a
passing car at a very early age.
He survived but needed to have
one leg amputated. After four
months he went off to a new
home where he had several happy years but when his
owners separated he was returned to the Shelter.
In the intervening years he developed epilepsy and needed
an array of drugs to keep it at bay. We never gave up on
Buzz – eventually that special family walked through the
doors and he soon settled into his new home.
If you are making a gift of your sponsorship please fill in the name
and address of the recipient below
Title
Surname
Address
First name
Postcode
What is the occasion?
We will use the information you provide about your friend for no other purpose than to send them the
sign-up pack.
Details of sponsorship
What would you like to sponsor?
DOG KENNEL QCAT PEN Q
RABBIT RUN Q
How much a month would you like to sponsor?
£8 Q
£5 Q
Other £
per month
PLEASE COMPLETE THE STANDING ORDER DETAILS OVERLEAF ❯❯❯