Sponsorship Form for HeartKids SA
Sponsorship Form for HeartKids SA
Sponsorship Form for HeartKids SA
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Join the City to Bay <strong>for</strong> <strong>HeartKids</strong> <strong>SA</strong><br />
<strong>Sponsorship</strong> <strong>Form</strong> <strong>for</strong> <strong>HeartKids</strong> <strong>SA</strong><br />
Childhood Heart Disease is one of the greatest killers of infants under the age of one in Australia<br />
<strong>HeartKids</strong> is the only organisation in Australia solely dedicated to supporting all facets of Childhood Heart Disease (CHD)<br />
Childhood Heart Disease is the most common birth abnormality<br />
One in 100 babies are born with a heart condition, that is 6 babies every day in Australia<br />
Children with Childhood Heart Disease fill over half the beds in children’s intensive care units<br />
is part of the City-Bay Fun Run 2012 <strong>HeartKids</strong> <strong>SA</strong> Team. Your sponsorship is gratefully received!<br />
Name Tax Receipt : Yes/No Email or postal address (email preferred)<br />
Sponsor<br />
amount<br />
Signature<br />
Example: Harry HeartKid Yes / No harry@heartkids.org.au $10 H.Heartkid $10 Y / N<br />
Paid<br />
Receipt<br />
required<br />
Y / N<br />
Y / N<br />
Y / N<br />
Y / N<br />
Y / N<br />
Y / N<br />
Y / N<br />
Y / N<br />
Y / N<br />
Y / N<br />
<strong>HeartKids</strong> <strong>SA</strong>, PO Box 364, North Adelaide <strong>SA</strong> 5006 www.heartkidssa.org.au citybay@heartkids.org.au or Ph: 0422 339 220
Join the City to Bay <strong>for</strong> <strong>HeartKids</strong> <strong>SA</strong><br />
is part of the City-Bay Fun Run 2012 <strong>HeartKids</strong> <strong>SA</strong> Team. Your sponsorship is gratefully received!<br />
Please ensure all sponsorship <strong>for</strong>ms, cheques/money orders, sponsorship return slips are returned to <strong>HeartKids</strong> <strong>SA</strong> by 28 September 2012.<br />
Name Tax Receipt : Yes/No Email or postal address (email preferred)<br />
Sponsor<br />
amount<br />
Signature<br />
Example: Harry HeartKid Yes / No harry@heartkids.org.au $10 H.Heartkid $10 Y / N<br />
Paid<br />
Receipt<br />
required<br />
Y / N<br />
Y / N<br />
Y / N<br />
Y / N<br />
Y / N<br />
Y / N<br />
Y / N<br />
Y / N<br />
Y / N<br />
Y / N<br />
Y / N<br />
Y / N<br />
Y / N<br />
Y / N<br />
Y / N<br />
<strong>HeartKids</strong> <strong>SA</strong>, PO Box 364, North Adelaide <strong>SA</strong> 5006 www.heartkidssa.org.au citybay@heartkids.org.au or Ph: 0422 339 220
Join the City to Bay <strong>for</strong> <strong>HeartKids</strong> <strong>SA</strong><br />
<strong>HeartKids</strong> <strong>SA</strong> City-Bay 2012: <strong>Sponsorship</strong> In<strong>for</strong>mation<br />
Welcome to the <strong>HeartKids</strong> <strong>SA</strong> City-Bay Team. Thank you <strong>for</strong> supporting us by gaining sponsorship through your participation in the City-Bay Fun Run.<br />
<strong>Sponsorship</strong> In<strong>for</strong>mation:<br />
<br />
<br />
<br />
<strong>Sponsorship</strong> <strong>Form</strong>: Record your sponsorship and maintain a list of all sponsors. You can download additional sponsorship <strong>for</strong>ms from www.heartkidssa.org.au<br />
Receipts: All donations over $2 are fully tax deductible. Sponsors can donate through:<br />
<br />
<br />
<br />
Your Everyday Hero webpage (which you set-up when you register with City to Bay). Sponsors receive a receipt as soon as they donate online.<br />
Cash sponsors can provide their details on this <strong>HeartKids</strong> <strong>SA</strong> <strong>Sponsorship</strong> <strong>for</strong>m and <strong>HeartKids</strong> will email or post a receipt to them direct on receipt of the finalised <strong>for</strong>m<br />
<strong>HeartKids</strong> <strong>SA</strong> can provide you with a receipt book by post on request (please contact Sheree Hyde on 08 8332 2901 or email sheree.foster@heartkids.org.au)<br />
Donation boxes: <strong>HeartKids</strong> <strong>SA</strong> can provide a donation box on request. Please contact Sheree Hyde.<br />
<strong>Sponsorship</strong> Deposit In<strong>for</strong>mation:<br />
Please post or deposit all fundraising by 28 September 2012. Once you have collected your sponsorship money, you are invited to use one of the following options to provide your donation to<br />
<strong>HeartKids</strong> <strong>SA</strong>. Please return the below slip after you have collected all your sponsorship money.<br />
If you would like to pay by cheque/money order to our Reply Paid address:<br />
If you would like to pay by direct deposit, our bank details are as follows:<br />
<strong>HeartKids</strong> of <strong>SA</strong> Inc Account Name: <strong>HeartKids</strong> <strong>SA</strong><br />
Reply Paid 364 Reference: CTB 12 and your surname or team name<br />
NORTH ADELAIDE <strong>SA</strong> 5006 BSB: 105900<br />
Please make cheques out to “<strong>HeartKids</strong> of South Australia” Account Number: 164733940<br />
Cut off and return this slip to the Reply Paid Address provided, by 28 September, with any: sponsorship <strong>for</strong>m(s), receipt books, cheques/money orders<br />
Important Note: Please include your Name, Team Name or Company Name in the reference section and return the below slip so that we can match off your deposit with the slip below.<br />
Name<br />
Team/Company Name<br />
Address<br />
Payment method Cheque/Money order Yes/No Direct Deposited Funds Yes/No Online Deposit Yes/No Date: / /2012<br />
Please circle Yes to indicate. Bank <strong>SA</strong> deposit Yes/No Branch Suburb Amount $<br />
<strong>HeartKids</strong> <strong>SA</strong>, PO Box 364, North Adelaide <strong>SA</strong> 5006 www.heartkidssa.org.au citybay@heartkids.org.au or Ph: 0422 339 220
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