Scunthorpe & District Cats Protection adult membership form

Please print this form, then fill it in with your details and post to, Mrs Ann Shambrook 12 Healey Road, Scunthorpe, North Lincolnshire DN16 1HW

Please make cheques or postal orders payable to Scunthorpe & District Cats Protection. All funds generated from branch membership are used entirely to help the cats. Thank you.

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E-mail address: (Optional) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Adult membership £4:00___ Senior citizens £3:00___ (Please tick required membership)

I enclose a cheque for £ _ _ _ _ _ _ _ _ _ membership. I enclose a donation of £_ _ _ _ _ _ _ _ _

Total amount enclosed: £ _ _ _ _ _ _ _ _

Please sign: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _