Order Form

We are unable to process any orders online. Please print off this order form and send it with a cheque made payable to “The Rainbow Centre” to Angela Emms, The Rainbow Centre, 27 Lilymead Avenue, Bristol, BS4 2BY.

If you have any queries please don’t hesitate to call us on 0117 985 3343 or email.

* If you are a UK tax payer and have made a donation or requested a “Gift of Therapy” please complete the gift aid form, so we can claim the tax back on your donation at no extra cost to yourself and send it in with your order.

Order Form

To contact us call:

0117 985 3343

Your details

SURNAME ………………………………… FORENAMES……………………………

ADDRESS ………………………………………………..………………………………...……...

…………………………………………………. POSTCODE …………………...…..……

TELEPHONE ……………………………….. EMAIL ………………………………………

SIGNATURE ……………………………….. DATE ………….…………..………………..

The Rainbow Centre for Children can increase the value of your donation at no cost to you, simply by claiming the tax you have paid on your income back from the government. If you would like to help the Rainbow Centre do this, please complete the section below. Please note that “Gifts of Therapy” count as donations but purchases of material goods do not.

c I want The Rainbow Centre for Children to treat all donations I have made for this tax year and the six years prior to the year of this declaration, (but no earlier than 6/4/2000) and all donations I make from the date of this declaration until I notify you otherwise, as Gift Aid declarations.

You must pay an amount of Income Tax and/or Capital Gains Tax for each tax year (6 April one year to 5 April the next) that is at least equal to the tax that the charity will reclaim on your gifts for that tax year.

Please notify the charity if you: 1.Want to cancel this declaration; 2.Change your name or home address; 3.No longer pay sufficient tax on your income and / or capital gains

Tax claimed by the charity: The charity will reclaim 28p of tax on every £1 you gave up to 5 April 2008; The charity will reclaim 25p of tax on every £1 you give on or after 6 April 2008; The government will pay to the charity an additional 3p on every £1 you give between 6 April 2008 and 5 April 2011. This transitional relief for the charity does not affect your personal tax position.

If you pay income tax at the higher rate, you must include all your gift aid donations on your self assessment tax return if you want to receive the additional tax relief due to you.

Please return to The Rainbow Centre, 27 Lilymead Avenue, Bristol, BS4 2BY.

The Rainbow Centre for Children is a company limited by guarantee registered in England no. 6240935 and a registered charity number 1120461. Formerly registered charity no. 293570

Item	Description	Quantity	Price	Subtotal
1	Handprint Notelets		£1.50 per pack of 5
2	Handprint Correspondence Cards		£1.50 per pack of 5
3	Clifton Suspension Bridge		£1.50 per pack of 5
4	Rudolph Design		£1.50 per pack of 5
5	Narrow Rainbow Tree		£1.50 per pack of 5
6	Rainbow layer Snowman		£1.50 per pack of 5
7	Green Parcels		£1.50 per pack of 5
8	Snowflake		£1.50 per pack of 5
9	Angels		£1.50 per pack of 5
10	Robin		£1.50 per pack of 5
11	Gift Design		£1.50 per pack of 5
12	Helping Hands Tree Design		£1.50 per pack of 5
13	Line Christmas Tree Design		£1.50 per pack of 5
14	Snowman design		£1.50 per pack of 5
15	Tree design		£1.50 per pack of 5
16	Make a noise		£30 per session
17	Add some colour to a child’s life		£30 per session
18	It’s playtime!		£30 per session
19	Lend an ear		£30 per session
20	Light a Christmas Candle		£10 per family
21	A lovely cup of tea		£5 per week
22	Rainbow Organza Wrapped Fresia bulbs		Sold out
23	Suttons Seeds (call for details)		£1.00 per packet
24	Rainbow Centre Sports T-shirt		£15 each M, L, XL
			Postage & Packing	£1.00
			Donation *
			Total

If you have made a donation or gift of therapy on behalf of a friend or relative, please complete their details so we can send them an acknowledgment card. You may include a personal message for the card or alternatively we will send the card to you to write your own message and give in person.
Recipient’s Name:
Recipient’s Address:
Your personalised message for acknowledgement card to the recipient:
Method of payment
	Cheque	I enclose a cheque for the value of £ _____ Made payable to “The Rainbow Centre”
	Invoice Me	Please send me an invoice for this order. (Please note goods will not be despatched until payment is received).