Official Mkombozi Sponsorship Form

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					    Official Mkombozi Sponsorship Form:
    Name:                  ____________________________________________________________________
    Activity / Event:      ____________________________________________________________________
    Date of event:         ____________________________________________________________________
    Please print / copy this page in order to produce enough records for your event sponsors. Sponsors who are
    UK taxpayers should tick the “gift aid” check box -- Mkombozi receives an extra 28 pence from Inland
    Revenue for every pound the sponsor donates!


    Sponsor’s name: ____________________________________________________________________
    Sponsor’s address: ____________________________________________________________________
                       ____________________________________________________________________
    Total sponsorship: ________________________________________ (specify denomination)
                                “Gift aid it”?


    Sponsor’s name: ____________________________________________________________________
    Sponsor’s address: ____________________________________________________________________
                       ____________________________________________________________________
    Total sponsorship: ________________________________________ (specify denomination)
                                “Gift aid it”?


    Sponsor’s name: ____________________________________________________________________
    Sponsor’s address: ____________________________________________________________________
                       ____________________________________________________________________
    Total sponsorship: ________________________________________ (specify denomination)
                                “Gift aid it”?


P.O. Box 9601 Moshi, Tanzania     Tel: (255) 27 2754793   Fax: (255) 27 2753410   info@mkombozi.org   www.mkombozi.org

				
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