 |
| Mr/Mrs/Miss/Ms___________
Initials_________ |
| Surname________________________________ |
| Address________________________________ |
| _______________________________________ |
| _____________________Postcode__________ |
| Telephone
No.__________________________ |
| Email
Address___________________________ |
| Please
tick this box if you do not wish to receive further communications
from North West Cancer Research Fund. |
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| I
wish to make a regular donation. Please send me a banker's order
form. |
|
|
|
| I
enclose my cheque/postal order made payable to North West Cancer
Research Fund |
| OR
please debit my Mastercard |
|
| Account
number______________________ |
| Today's
date_________________________ |
| Signature____________________________ |
| I
am a UK taxpayer and I want North West Cancer Research Fund
to treat all donations I make from 6 April 2000, until I notify
you otherwise, as Gift Aid donations. I am currently paying
income tax or capital gains tax that is equal to or more than
the tax deducted from my donation. |
| Please
complete and return this form, with your donation if appropriate,
to the General Secretary, North West Cancer Research Fund, FREEPOST
LV 717, Liverpool L7 1BR. |
|
