Let The Children Live!
PO Box 11
Walsingham
Norfolk
England
NR22 6EH



Name	_______________________________________

Address	_______________________________________

	_______________________________________ 

	_______________________________________

	_______________________________________

e-mail	__________________ 

Tel.    __________________ 



Please find enclosed a donation of _____________


Please send me details about Gift Aid  (tick) ____ 



Let The Children Live! can also accept donations using the following credit cards:


                              { VISA, MASTERCARD or DELTA... }


                               Card Type _________________ 

        Name, as it appears on your card ____________________________

I authorise you to charge my account no. ____________________________
                                                                       
                                  Amount _________________

                        Card Expiry Date _________________ 

                               Signature _________________



Thank you!



U.K. Registered Charity no. 1013634