Postal Donation Form

Donation Form

Please post this form to:

JTSMA

Freepost MID 22097

STRATFORD upon AVON

Warwickshire,

CV37 0BR

U.K.

Or fax to:

+44 (0)870 774 3652

If you are a UK tax-payer and have or will pay tax equal to the tax reclaimed by The Jennifer Trust, please sign the box below and give your name and address on the right to enable us to reclaim the tax by Gift Aid.

I am an income-tax/capital-gains-tax payer in the UK:

Date:

PAYMENT METHOD
Post or fax:

Visa / Mastercard / Switch* Card No.:

(*Delete as appropriate)

Please debit my card to the value of:

£ __________

Name on Card :

Valid from : . . . / . . . Expiry Date : . . . / . . .

Issue Number : . . . . (Switch only)

Card Holder's Signature :

Post only :

I enclose a Sterling cheque / PO to the value of:

£ __________
Please make cheques payable to "JTSMA", with your address and cheque card number on the back.

If you would like an acknowlegement
please put your name and address here :

Name:

Address:

:Post Code

Donation Form

See Also