Response sheet Adopt a Granny

 

Please send by post to Mustard Seed Jersey, Cardiff House, St Peter, Jersey  JE3 7EJ

OR by email

 

 

Name ………………………………………….                                                   

 

Address …………………………………………………………………………………………

 

                ……………………………………………………………………………………..………..

 

Email ……………………………….……………….          

 

Telephone ……………………………..

 

 

PLEASE INDICATE  WHAT APPLIES

 

 
                               

                                I enclose a Lump sum donation of £ …….……… 

(£16 X 12 months = £192 OR For 7 coldest months £16 x 7 = £112)

 

 

 
I wish to pay by standing order and have filled in the attached standing order form.   

 

 

 
I have set up a standing order direct with my bank and enclose details