Please either Print and Post this page

TIN NUMBER: _________

I have broken the seal of this collecting tin in the presence of   _________________________________

And have counted the contents which amount to  £________________

Signature of Witness: __________________________________________________________________  

You can pay by either

• Put the amount to the nearest pound in the quantiy box below and click Continue
• Or By BACS into Barclays Bank Account 30683582 sort code 20-20-62
• Or direct to our bank account by using the pre-printed paying in slip
• Or by Paypal into account bulldogrescue@btinternet.com

If you are paying directly into our Bank or Paypal Account please then click here to inform us immediately   
 
WHAT NEXT - Print this page to post:

[   ] I have returned the tin
To: Kathryn Harrison
40 Stamford Grove
Stalybridge
Cheshire SK15 1LZ

or
[   ] I have kept the tin for future events and understand that I must inform Bulldog Rescue as
to when I intend to use the tin again. This form should then be sent to
Bulldog Rescue
PO Box 18
Midhurst
West Sussex GU29 9LD
 
Please tick the one that applies and then print and return this page
 
SIGNED:   __________________________________________________

DATE: 

Or complete this form - Don't forget to click Submit and then make sure you complete the amount and click Continue to complete this transaction (Can't see the form? Click "Classic View" Below and turn your phone on it's side)