Donation Form

Self Realization Meditation Healing Centre
U.K. Registered Charity No. 800412

To make a postal donation to the Centre, please print out this form, and post it to the UK Mother Centre, or contact us at the Centre if you require any further information. Thank you.

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/Maestro/Solo/Electron (circle one)

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

(Please send your Credit Card Security Number separately or ring us with details)

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

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

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

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

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

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

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

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


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

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

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

Tel. 01935 850266 Fax. 01935 850234