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Fundraising |
Donations
Please
print out this form and send it to:
Advance
The Bradbury House
6 Station Road
East Grinstead
West Sussex
RH19 1DJ
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Name
(Mr/Mrs/Miss/Ms):
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Address:
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Postcode:
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Country:
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I
am over 18:
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I
would like to donate by: Switch/Delta/Visa/Mastercard/American
Express/Diners Club
(please
delete as applicable)
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Donation
amount:
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Card
Number:
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Expiry
Date:
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Issue
Number:
(Switch
cards only)
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Signature:
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Today's
Date:
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OR:
I would like to make a donation by cheque:
(Please
make cheques payable to: Advance)
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