You can help

An ADULT Friend of Greatwood (£5.00 per month or £60.00 per annum by Bankers Order below or enclose payment of £65.00

A JUNIOR Friend of Greatwood (£10.00 per annum) I am under 16 (D.O.B. / / ) and enclose payment of £10.00 or completed Bankers Order

A LIFELONG Friend of Greatwood and enclose payment of £2,00.00 or payment by Credit/Debit Card

I would like to make a regular donation of £……………. monthly/quarterly/annuallyPlease complete the Bankers Order form below

I would like Greatwood to reclaim tax on all donations

Title Firstname Surname

Address

Postcode

Tel. No. E-mail

I enclose a cheque/postal order for £

Payment by MasterCard/Access/Visa/Switch/Delta

Payment by MasterCard/Access/Visa/Switch/Delta for £

My card number is

Valid from Expiry Date Issue No. (if any)security no:

Signature

Regular Gift Donations

The most convenient way to give your regular support is through Bankers Order Each payment is recorded on your bank statement and you are free to cancel at any time.

I wish to pay the sum of £…………… every month / quarter / year (please circle)

I would like Greatwood to reclaim tax on all donations (please tick)

BANKERS ORDER

Please complete this section if you wish to pay by Bankers Order

To the Manager of: (Name of Bank)

Bank address:

Postcode

Name of Account to be debited Account No. to be debited Sort Code

Please pay Greatwood the sum stated at the frequency indicated above starting on:

Payable to: Weatherbys Bank Ltd (Sort Code 60-93-03)

Sanders Road, Wellingborough, Northants NN8 4BX for the account of Greatwood

Account No. 00585745

Signature:

N.B. Please return this form to Greatwood Caring for Retired Racehorses