Print this form by right clicking here and selecting print from the menu

PET EASEMENT PROJECT FORM

	I would like to know more about fostering a dog or a cat
	I would like to help fund-raise to support PEP
	I would like to make a donation to support PEP, and enclose a cheque/ have arranged a standing order for £

Name: ....................................................................................................

Title: (Mr/Mrs/Ms/Miss/other) .....................................................................

Address:...................................................................................................

..............................................................Postcode: ..................................

Telephone: .......................................... Date: ..........................................

Cheques need to be crossed and made payable to EASE.

Standing orders (click for form) can be set up with the EASE account.

If you are a tax-payer, please enable EASE to claim a further 28% extra on top of your donations, by signing the following declaration.

I want EASE to treat all donations I make from the date of this declaration until I notify you otherwise as Gift Aid donations

Signature: ...................................................................................................

Please send the completed form to: