Make A Donation - UK FORM

Please Print this document, Fill all that is required and post it to the below address:

Your Full Name 

 ____________________________________________

Your Email Address 

 ____________________________________________

Your Telephone No.

 ____________________________

Complete Mailing Address

 ____________________________________________

 ____________________________________________

 ____________________________________________

Donation Amount

£ __________________

Cheque Number

 ____________________

Bank Name

 ____________________________________________

Tax Number

 ____________________

Your Donation to Project

 ____________________________________________

Comments or inquiry?

 ____________________________________________

 ____________________________________________

 ____________________________________________

 ____________________________________________

 

* Please make your cheque payable to CHILDREN OF LANKA and post it to 39 Farrier Road, Northolt, Middlesex, UB5 6TT