Southport & District Branch Cats Protection - Join Our Branch Form

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


      Cats Protection
      Southport & District Branch
      F.T.A.O. Treasurer/Lynne Keher
      Woodlands Farm
      Sandy Lane
      Holmeswood
      Nr. Ormskirk
      Lancashire
      L40 1UE





Mr Mrs Miss Ms

Name:

Address:

:

:

:

 PCode:

Telephone Number:

Annual Membership
Please enrol me as a member of the Southport & District Branch of Cats Protection.
Year £5.00      2 years £10.00

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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