Donation Form

DONATION FORM

If you wish to donate please complete this form, print from your browser, sign, date and post it along with your Cheque to:-

Bradford Civic Society, Ground Floor Offices, Sunbridge House, 80 Kirkgate, Bradford, BD1 1TH

Name:

House No/Street:

Address 2:

Town/City:

County:

Postcode:

Telephone:

Email Address:

Your Donation:

£:

(do not send cash via the post)

Gift Aid Declaration:

I would like Bradford Civic Society to reclaim tax I have paid on this and any future memberships subscriptions and donations until I notify you otherwise.

Signature:

_____________________________________

Date:

_________________

Please make all cheques payable to "Bradford Civic Society"

Registered Charity No: 1115384