Pledge Form to print, complete and send to address below:
I/We am/are pleased to pledge a gift to the Topolski Memoir Appeal.
I/We will contribute a total of £……………...
Signature………………………………………………………… Date…………….
Please include my/our gift towards your appeal total.
I/We will complete a Gift Form to confirm the details of my gift by (Please specify date here) …………………………………..
Name
Address
Postcode
Telephone
Fax
I/We would like to designate my/our gift towards the following project/item:
YES/NO you MAY/MAY NOT publicise my/our name as a supporter of the Topolski Memoir Appeal Please list my/our name/s as above or as............................................................
When you have completed the form please SEND to:
Jane Hellings, Topolski Memoir Ltd, c/o ABL Cultural Consulting, 31 St Martin’s Lane, London WC2N 4ER.
The Topolski Memoir is a registered charity no 1103516