DONATION/GIFT FOR THE MAYFLOWER CENTRE

I enclose the sum of £...................

Name.....................................................................

Address .................................................................

..............................................................................

.............................Post Code.................................

Telephone No.........................................................

email.......................................................................


I am a tax payer and would like the charity to claim Gift Aid on this and any future contributions I might make (please tick)


I / we would like to receive information about the child and family we will be supporting (please tick)


Please return your donation and this form to Chernobyl Children’s Project (UK), Kinder House, Fitzalan Street, Glossop SK13 7DL.