LLUEST HORSE & PONY TRUST Registered Charity 516674
 ADOPTION, DONATION, AND MEMBERSHIP FORM

Suggested donation for adoption is £15 per pony per year.

I/We would like to adopt/re-adopt (please tick below). 
Barley – grey gelding born 1985………….                         Zac - Chocolate donkey born 2000…………..
Gwilym – chestnut gelding born 1991……………                Zorro - Spotted Falabella born 2004………
Humphrey - chestnut Shetland gelding born 1977…..         Brandy - 15hh mare aged 29 years………….
Lucy – elderly grey mare………………………                     Val - bay mare born approx 1977……………
Min – blind mare born 1993……………………                     Mollie - grey mare 30 years……………………
Poppet –Chestnut mare born 1970……………..                   Ginny - grey mare 13hh born 1974……………    

PLEASE PRINT CLEARLY – Thank you!  

Name……………………………… Address………………………………………………………………………………..

………………………………………………………………………………………Post Code……………………….

I would like to receive half yearly newsletters by post………I will read the newsletter on-line…… (Please tick)

I would like to receive half yearly updates on my ‘adopted’ pony.     YES/NO

Age if under 18 yrs………….

If this is a gift – please give details below of name to appear on the certificate and address to be posted Name……………………………………….Address………………………………………………………………………..
…………………………………………………………….…………………….……Post Code……………………………

Membership £5 per year individual……… £10 per year family…….. Life membership £50……..Please tick.

I would like to make a donation of £……  Please acknowledge/ I do not require an acknowledgement

I enclose a cheque/postal order for ……..(total adoption,donation and membership) payable to Lluest Horse and Pony Trust.  Please post to Beili Bedw Farm, Llanddeusant, Llangadog, Carms  SA19 9TG

GIFT AID – IF YOU ARE A UK TAX PAYER YOU CAN MAKE YOUR DONATION GO EVEN FURTHER BY COMPLETING THE FORM BELOW.
Name…………………………….  Address……………………………………………………………
………………………………………………………………………..Post Code……………………...

I confirm that I am a UK taxpayer and would like Lluest Horse and Pony Trust to treat all donations/adoptions I have made since 6th April 2000 and make from the date of this declaration as Gift Aid, until further notice.

The amount I have donated under Gift Aid is…………Signature…………………………………….

Please contact us if you need to tell us of a change of address/that you are no longer a tax payer/if you wish to cancel the declaration or have any enquiries.     Thank you