'FRIEND OF THE SHELTER' APPLICATION FORM

I wish to become a 'Friend of the Shelter'.  I enclose a cheque/postal order for £15.00.

Title                                           Mr Mrs Miss Ms

First Name                               

Surname                                   

Housename/House Number      

Street Name                             

Town                                       

County                                     

Postcode                                  

Telephone Number                   

Email Address                          

Being a taxpayer, I want the RSPCA to reclaim tax on all my donations.  Please treat all donations made by me after the date of this Declaration as GIFT AID DONATIONS.

Signature .......................................................                    Date ...............................................................

Please make cheques/postal orders payable to:-  'RSPCA Southport, Birkdale & District Branch'

and send with this printed form to:-  The Branch Secretary, RSPCA Animal Shelter, New Cut Lane, Birkdale, Southport, PR8 3DW.

THANK YOU FOR YOUR KIND DONATION AND SUPPORT !!