Please print this form a send it together with your donation to: Simon Paul Foundation The Tower Room Library & Information Centre London Road Swanley Kent BR8 7AE Please make cheques payable to The Simon Paul Foundation

I (full name).................................................................................................................. Of (address)................................................................................................................. ................................................................................................................................... ....................................................................... Post Code: ........................................ Give to the Simon Paul Foundation (amount of your gift sent to us) £.......................... on (date) ......... / ........./ .......... Signed: ........................................................... Date: ................................................. Would you like more information? - Please tick the appropriate box Please send me your information leaflet Making a regular donation through my payroll Making a regular monthly donation Becoming a volunteer Having a talk on the Simon Paul Foundation at your local group Helping at collections and events We acknowledge every donation. However, to help with costs, if you do not require an acknowledgement please tick the box If you would like your contact details to be added to our mailing list please tick the box