Thank you for pledging your support for our appeal. When we have enough donations and pledges of support to reach our target, we will contact you, using the details from this form, and ask you to redeem your pledge. In the meantime, we will email you with progress letters if you leave an email address.
Please complete the form below.
Title:
Mr
Mrs
Ms
Dr
Professor
Reverend
Name:
Address
Postcode
Country
UK
USA
Afghanistan
Albania
Algeria
American Samoa
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Angola
Anguilla
Antarctica
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Liechtenstein
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Mayotte
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Myanmar
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North Korea
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Poland
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Western Sahara
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Yugoslavia
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E-mail
I would like to pledge:
Money
Amount
Yes
No
£
$US
Value of donation
1
2
5
10
20
50
100
Other
Help with hanging the bells
Yes
No
Transport for the bells to the foundry
Yes
No
Fundraising assistance
Yes
No
Help with ringing the restored bells
Yes
No
Contacting you
Would you prefer us to contact you by
email
post or
telephone ?
If by phone, please give us your number here:
Country/Area Code
Telephone Number
Would you like to be kept informed with email news about the progress of the Peal Appeal ?
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No
Comments
Please help us ring our bells - contribute to the
Peal Appeal
!