Please print out this page

Please complete this form and return it, along with payment to:

Joyce Godfrey, Treasurer
The Whiteley Shelter
Mansfield Road
Spion Kop
Warsop
Mansfield
Notts. NG20 0EF

Cheques should be made payable to MANSFIELD CATS PROTECTION
(Please write your name and address on the reverse of the cheque.)

Please tick applicable box:

DONATION..........................................................................................

SUPPORTERS SCHEME £10.00 per year............................................
(£6.00 for Children/Senior Citizens)

SPONSOR A PEN £60.00 per year.......................................................

I would like the plaque to read............................................................................

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Name (Mr/Mrs/Miss/Ms)...................................................................................

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

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.....................................................Post Code...................................................

Telephone Number ..........................................................................................