Scunthorpe & District Cats Protection Donation Form
Registered National Charity Number 203644

Please print this form, fill it in and send it to the address below with the amount enclosed.  Thank you for your generosity.

I enclose a cheque for £_ _ _: _ _ _  made payable to Scunthorpe & District Cats Protection

Amount in words please: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

My name is: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

My Address is : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

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Postcode:      _ _ _ _ _ _ _ _ _ _

Telephone No: _ _ _ _ _ _ _ _ _ _ _ _ _
(optional)

E-Mail address: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
(optional)

I would like to receive further details on how to leave a legacy in my will to Scunthorpe & District Cats Protection: _ _ _  (Please state yes or no)

Please send this completed form to

Mrs C Watson 94 Station Road, Gunness, Scunthorpe, North Lincolnshire DN15 8TH

A receipt for any donation received will be sent to you shortly.  Thank you.