My Monetary E~Coupon

NAME & TITLE:_______________________________________________________________________________________

ADDRESS: _____________________________________ SIGNATURE: ___________________________________________

NAME OF CHARITY:_________________________________________________

POSTCODE:____________________ DATE:_________________________________________________

 

PAYMENTS TO: P. P. L. McCleod

25 Beacon Road, Chatham, Medway, Kent, ME5 7BW, England, U.K.

For more enquiries; Email:- poetry4charity@gmx.com 

 

Please Tick:- 0Personal Cheque  0Postal Order  0Bankers Draft  0Paypal

YOUR LUXURIANT QUALITY CHOCOLATE BOX AWAITS YOU, A DELICIOUS GIFT. PLUS!! 2 NATURE MUSIC CD’S

 Your coupon! Printout or download my monetary e-coupon and send to the above address.

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