Southport & District Branch Cats Protection - Sponsor/Name a Pen Gift Form
Your gift membership present, will be sent diretly to your chosen person.

Please complete the following form, print it, and post to:

      Cats Protection
      Southport & District Branch
      FTAO: Ang & Carl
      Name & Sponsor a Pen Co-ordinator's
      Woodlands Farm
      Sandy Lane
      Holmeswood
      Nr. Ormskirk
      Lancashire
      L40 1UE





Mr Mrs Miss Ms

Donator of Membership/Name:

Address:

:

:

:

 PCode:

Telephone Number:



Mr Mrs Miss Ms

Nominate Gift to/Name:

Address:

:

:

:

 PCode:

Telephone Number:

Name/Sponsor a Pen
Please enrol me on the Gift Name/Sponsor a Pen Scheme at the Southport & District Branch of Cats Protection.
Year £20.00      2 Years £35.00

Pen Name
I wish to call the pen:-

Sponsored By
The wording you want on the sponsored pen:-


Gift Aid
We can claim 28p in the pound tax back on donations made by taxpayers, and would be most grateful if you would tick the following box: I want the charity to treat any donation I have made from 6th April 2000, and any donations I may make from the date of this declaration until I notify you otherwise, as Gift Aid donations.

Cheques and postal orders should be made payable to SOUTHPORT & DISTRICT BRANCH CATS PROTECTION and posted with this form to the address above. Unfortunately we are unable to accept credit card payments at this time. Please do not mail cash.

Signature/s_________________________ / _________________________ Date____________

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