CUAN WILDLIFE RESCUE-“100 CLUB”REGISTRATION2016-17
Thank you for supporting us through our “Cuan Wildlife Rescue 100 club” monthly draw.
The 10 monthly draws take place from May 2016 thru February 2017.The cost of registration is £10 per annum per entry…and you can have as many entries as you like to increase your chances of winning.
The prizes are as follows
1st Prize £35.00 2nd Prize £10.00
Bonus months are July and December when prizes are`as follows
1st Prize £50.00 2nd Prize £20.00
To participate please choose one of the options below.
1. Complete thePostal Application form (Part A), and return to the address below with your remittance,
2. Fill out a BankersStanding Order form (Part B),and return to Cuan House, at the address below.The Bankers Standing Order is also available on ourwebsite, if you simply wish to donate directly to Cuan House.
Please complete the application form (PART Abelow) and return with your payment to:-
Mrs Elaine Gregg
“Little Orchard”
Astley Abbotts
BRIDGNORTH, Shropshire,
WV16 4SW
Cashor cheques payable to “Cuan Wildlife Rescue” – THANK YOU
...……Please detach here, and forward the completed formPart Awith your payment to the above address…………
PART APOSTAL APPLICATION FORM
Please complete all details marked with an asterisk *
Please enrol me in the 2016Cuan Wildlife 100 club draw. My remittance for is enclosed.
*Name…………………………………………………*Telephone No. ………………………………..
*Address……………………………………………………………………………………………………
………………………………………………………………………………………………………………..
*Post Code ……………………*E-mail address (if available)………………………………………………….
……………Please detach Bankers Standing Order Part Bhere, and forward to the address below………………
PART B BANKERS STANDING ORDER
Please complete all details marked with an asterisk *
*Your Name: ……………………………………………………………………………………………………….
*Your Address: ……………………………………………………………………………………………………. ……………………………………………………………………………………………………………………
*Name & Address of your Bank: ………………………………………………………......
……………………………………………………………………………………………………………………
*Bank Account Number: ……………………………….*Bank Sort Code: …………………………………
*Signature: ……………………………………………. *Start Date: ………………………......
*Please pay to “CUAN WILDLIFE RESCUE”
The sum of *£ ………………………….. Annually
Starting from *………………………………………………………. until further notice.
PLEASE PAY TO:
Barclays Bank, Much Wenlock Branch, Shropshire Group of Banks,
44–46 Castle Street, SHREWSBURY, SY1 2BU for Cuan Wildlife Rescue
Sort Code: 20-53-22 Account No: 60957194
Please forward completed form to:Cuan Wildlife Rescue, The Signals, Stretton Road, MUCH WENLOCK, Shropshire, TF13 6DD(Not to your bank)
Thank you for your continued support.
Website : Registered Charity No 1096812