I would like to support Manuel's fantastic achievement and make a donation to Cancer Research UK

 

I enclose a donation of ...................................................................

 

Gift Aid

If you are a UK taxpayer, the value of your donation can increase by nearly a third under the Gift Aid Scheme - at no additional cost to you! Simply tick the Gift Aid declaration below and add your name and home address.

I am a UK tax payer and I want Cancer Research UK to treat this donation as a Gift Aid donation

Tick Here ....

Please make cheques payable to "Cancer Research UK"

 

 

 

 

 

 

 

If you have ticked the Gift Aid declaration above, please fill in your name and home address below:

Name ....................................................................................................................................

Address ...............................................................................................................................

Postcode .............................

Email .................................................................................................................. (optional)

Thank you for your support. Please print off a copy of this form and send it with your donation to:

Manuel Queiroz, Pear Tree Cottage, Pirton, Worcestershire, WR8 9EJ