Donation Form - London Wildlife Trust

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Dean Bradley House
52 Horseferry Road
London
SW1P 2AF
Tel: 020 7261 0447
Fax: 020 7633 0811
[email protected]
www.wildlondon.org.uk
Donation Form
Name___________________________________________________________________
Address_________________________________________________________________
_______________________________________________________________________
_____________________________________________ Postcode __________________
Email ___________________________________________________________________
Please find enclosed my gift of £________________________ (please fill in amount)
 I enclose a cheque / Postal Order made payable to London Wildlife Trust
OR
 Please debit my Mastercard / Visa / Maestro*
Card No
(* - delete as applicable)
Bw Bw Bw Bw Bw Bw Bw Bw Bw Bw Bw Bw Bw Bw Bw Bw
Valid from
Bw Bw / Bw Bw
Issue number (Maestro only)
Bw
Expiry date
Bw Bw / Bw Bw
CVC number
Bw Bw Bw
(last 3 digits on the signature strip on the back of your card)
Signature_______________________________________________ Date _____________________
Thank you. Your gift will be used wherever the need is greatest.
Please return this form to:
London Wildlife Trust Part First Floor, Dean Bradley Housr 52 Horseferry Road, London, SW1P
2AF
Protecting London’s wildlife for the future
The London Wildlife Trust is a company limited by guarantee registered in England and Wales no. 1600379 and registered charity no. 283895.
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