DONATION FORM
Title: _____________________________________________________________________ Forename: _____________________________________________________________________ Surname: _____________________________________________________________________ Address: _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ Postcode: _____________________________________________________________________
I would like to sponsor a stand seat for life (£200)I would like to donate £ ___________ towards the costs involved in the Berryfield Project.Payment by Cheque (payable to The Old Wycliffian Society) enclosed
Payment by Credit Card
Visa Mastercard Expiry Date: Name on Card: __________________________________________________________________
Card No:
Security Code:
(last 3 digits on the signature security strip)I request The Old Wycliffian Society (Registered Charity No 271464) to treat my Donation and all other Donations I might make from the date of this Donation until I notify you otherwise as a Gift Aid Donation. (Delete if not appropriate)
Signed: _____________________________________________ Date:
All donations will be acknowledged and gratefully received.
Please return the form together with your donation to:
The Old Wycliffian Society, Wycliffe College, Stonehouse, Gloucestershire, GL10 2JQ