Save the Puffer

Your Personal Details

Title
First Name*		* Required Information
Last Name*
Address*


Country*
Post / Zip / Area Code*
Telephone
Email

Are you a Friend of VIC 32? Yes No

Gift Aid - UK Taxpayers only
The Inland Revenue Gift Aid scheme adds tax relief to your charity donations. For every £1 you give, the government will add 28p from your taxes. It doesn't cost you a penny, and when you make a declaration, all your gifts in future will also be topped up with Gift Aid. For full details click here. Do you want to take advantage of the Gift Aid scheme to maximise your donation?
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I would like to donate to the Puffer Preservation Trust:

£10 £20 £50 £100
Other amount £ please specify

ADDITIONAL OPTION *

I would like to make a regular contribution to the Puffer Preservation Trust :

with a monthly donation of : £10 £20 £50 £100
Other amount £ please specify

or a quarterly/annual donation of £ please specify

Beginning on the day of the month

Bank instruction : Please pay the indicated amount to Clydesdale Bank Poltalloch Street Lochgilphead PA31 8LL Account number : 09215697 Sort code : 54-41-28 for the credit of The Puffer Preservation Trust Co. Ltd.

Signature	_________________________
Date	_________________________

As a signature is required by law we are unable to accept this form online. Please print it out using the print facility on your browser.

Note: You will automatically become a Friend of VIC 32 unless you indicate otherwise. I do NOT want to become a Friend of VIC 32

* UK only. If you wish to use this option from overseas please contact the Puffer Preservation Trust.

Data Protection

The Puffer Preservation Trust will not share information you supply with any other party.

Please make cheques payable to:

The Puffer Preservation Trust Co. Ltd.

Please send this form to:

The Puffer Preservation Trust
The Change House
Crinan Ferry
Lochgilphead
Argyle
PA31 8QH