How do I sign up'

Please fill in the attachedformand return to
Jane Chapman
FIFE 2005
NCH, the children's charity
85 Highbury Park
London
N5 1UD
Tel: 020 7288 7837
Fax: 020 7226 2537
Jane.chapman@nch.org.uk

FILM INDUSTRY FOOTBALL EVENT 2004
FULHAM FOOTBALL CLUB CRAVEN COTTAGE
SUNDAY 5TH JUNE 2005
ENTRY FORM

Please enter my team at £1,000. I understand that teams will besold on a first come first served basis.
Entry price includes:-
' entry to the five aside tournament at FulhamFootball Club
' 10 free spectator tickets.

Please also book me:-

______ additional spectator tickets at £5 per person (also available on the day for team guests)
I/we cannot enter a team but wish to make a donation*

I enclose a cheque for the full amount of £___________, made payable to NCH
Or
I wish to pay by: Mastercard / Visa / Switch / American Exress Card to the amount of £__________

Card Number ________________________________________________________
Authorisation digits (last 3 digits from the signature strip on reverse of card)___________
Expiry Date: ______________ Today's Date:______________
Name (as it appears on card): ____________________________________________

Signature: __________________________________________________________
Team Contact Name: __________________________________________________
Address: _____________________________________________________________
____________________________________________________________________
____________________________________________________________________
Postcode:___________________
Daytime Tel Number: ______________________________________
Email Address: ___________________________________________

All enquiries, please, to Jane Chapman at NCH on 020 7288 7837 or jane.chapman@nch.org.uk
Please tick the option below and add today's date tomake your gift worth 28% more at no extra cost to you.
__ I am a UK tax payer and I want NCH to treat all donations from 6th April2000, until I notify you other wise, as Gift Aid donations. I am currentlypaying income tax and capital gains tax that is equal to or more than the taxthat NCH reclaims (currently 28p inevery £1 you give) in the tax year.
Date ___________________