Donation form

I would like to help the Centre help people in need.

I wish to make a donation of ................... by cheque (Please make cheques payable to the Self Realization Meditation Healing Centre. Thank you)

OR

Please debit my Mastercard/Visa/Visa Debit/Solo/Switch (circle one)

No...................................................................

Card Security Number..........

Expiry Date.......................

Switch/Solo Issue No..........Switch/Solo Start Date....................

Signature ..............................................

Name (as on card)....................................................................

Address.......................................................................................

....................................................................................................

....................................................................................................

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Tel. No. (home)............................................................(work).......................................................

I wish this donation to be treated as Gift Aid - please tick here if you pay
Income or Capital Gains Tax at least equal to the tax we reclaim on your donation................

Click here for more information about the Sustainers Fund.

Please print off this form and post it to us at the UK Mother Centre.
(Please do not e-mail the form to us. Thank you.)

Self Realization Meditation Healing Centre
Laurel Lane, Queen Camel, Yeovil, Somerset, BA22 7NU, UK.