Making a donation to the Warwickshire Wildlife Trust

Your Details: PLEASE COMPLETE IN BLOCK CAPITALS

Name

Address 1
Address 2
Address 3
Post Code

Telephone

I want my donation to be used for ...

Radway Meadows Appeal
General conservation and education work of the Charity
Operation Rescue Ratty - our Water Vole Appeal

Payment method

You can pay by cheque, cash or credit card - we will also send you details of Direct Debit and Gift Aid when you join us as a member.  Please don't send cash through the post.

I enclose for £ made payable to "Warwickshire Wildlife Trust".

OR

Please debit my for the sum of £ ,
my card number is:    , and the expiry date is


Signature:_________________________________________________ 

Date:_____________________________________________________

* Would you like the tax-man to give us extra money?  Just complete the Gift Aid Form too, and send it with your donation.  It will enable us to collect £2.80 for every £10 you donate - and costs you nothing!
 Please print this form, sign it, and return it when completed to:

Warwickshire Wildlife Trust, Brandon Marsh Nature Centre, Brandon Lane, 
Coventry CV3 3GW   Telephone 024 7630 2912  Registered Charity Number 209200

With grateful thanks for your support!                                                  Last updated 10 December, 2007