Please complete this form, then print it and post it to:Peter Hecker, Suffolk House, Blythburgh Road, Westleton, Suffolk IP17 3AS
Name
Address Line 1
Address Line 2
Address Line 3
Postcode
Phone
email
Please place me on the mailing list to receive the KEY CHANGE newsletter twice a year (which includes information about concerts and other events)
I would prefer to receive the newsletter by email by post
Please tell me how I can make a pledge
Please tell me how I can grant an interest-free loan
Please send me a standing order form to complete
I would be willing to help with fund-raising events. Please contact me
I would like to organise my own fund-raising event. Please contact me
I do not at present wish to make a long-term commitment but am enclosing herewith a donation of
£ made payable to 'Westleton PCC'.
I am a UK tax payer*. Signed....................................................................
*(Your signature enables us to reclaim tax on your donation)