Scunthorpe & District Cats Protection junior 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.

Name: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Address: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

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Post code: _ _ _ _ _ _ _ _ _ _ _ _

Telephone number: (Optional) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

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

Children 16 years and under £3:00 Your age please: _ _ Years.

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

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

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