DONATION FORM

I would like to make a donation and become
a friend of Nicola’s Fund.

I enclose £____________________________
(please make cheques payable to Nicola’s Fund)
The enclosed donation is a gift aid donation
(See website for Terms & Conditions)

Name:________________________________

Address:______________________________

Postcode:_____________________________

Daytime Telephone:_____________________

eMail:________________________________

Please return to:
Nicola’s Fund, The Stables, Old Meadow Court,
Gresford Road, Llay, Wrexham LL12 0NE
Thank You!