I wish to make a donation towards
patient care at Hospice Care
This page is for those who do not wish to make on online donation -
print out this page, complete and post to the address shown below
First Name(s) |
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Family Name |
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Company Name (where applicable) |
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Address line 1 |
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Address line 2 |
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Address line 3 |
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Town / City |
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County / State |
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Country |
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Postal / Zip Code |
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Telephone number |
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E-mail address |
| Total £................................. (Cheques payable please to Share the Care) |
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Type of Card: Visa - MasterCard (Please delete as applicable) Number: .............. ................ .................. .................. Switch No: .................................................................. Valid from ................. Expires end ...................... Signature................................................................. |
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Please printout this page and post to: Share the Care, Hospice Shops, 76 Bucks Road, Douglas, Isle of Man IM1 3AF, British Isles Hospice Care is an Isle of Man Registered Charity No. 411 |
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