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Making a Donation

See instructions opposite.


Title
Christian Name
Surname
Address Line 1
Address Line 2
Address Line 3
Post Code

I would like to make a donation (payable to The Ear Trust) of :
£5   £10   £15   £20   £25   Other :

I confirm that I am taxpayer and that any donation I make to The Ear Trust may be treated as gift aid.
I am interested in leaving money in my will.
I would like help in organising my own fund-raising event.
I would like more information on how to help the Ear Trust
 

More Information


Complete this form if you would like to make a donation to The Ear Trust or simply want information about how you can help us.


When you press Submit, the information entered will be used to create a .PDF form that you can download, print and mail to YCIS.


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Get Acrobat Reader.