African Remembrance Day - Donation Form

A day for reflection, renewal and healing of the African family.

Donation Form

Please complete this Donation Form and assist the ARDC in its work. I WOULD LIKE TO MAKE A CONTRIBUTION TO THE ARDC
Please find enclosed my cheque for the following: (please tick the appropriate amount, payable to ARD)
Amount:	£10	£25	£50	£75	£100

Name:
Address:
City:
Postcode:
Home Tel:			Work Tel:

Email:
SIGNED:			DATE:

---------------------------------------(please detach here)---------------------------------------
I WOULD LIKE TO PAY BY STANDING ORDER
To the Manager;
Name:
Address:
City:
Postcode:
Please credit African Remembrance Day account:
Bank:	'Lloyds TSB Bank PLC, 12 Southside, Clapham, London, SW4 7AD
Account Name:	'African Remembrance Committee'
Sort Code:	30-92-10
Account Number:	0581759
the following sum of:£
MONTHLY / QUARTERLY / ANNUALLY (please circle the preferred timings)

Please debit this sum from my account, on receipt of this order.
Account No:		Sort Code:

SIGNED:		DATE:

For further information: ARD, PO Box 215, London, WC1X 9BT Tel: Onyekachi - 020 7498 4497 Click here for email
Find out more about the African Remembrance Day Committee, click here.