Please provide the following contact information: Name Title Street Address Address (cont.) City County Postal Code Country Home Phone E-mail
I would like to adopt Please choose Jasper Mr Jingles Molly Paddy Mr Pickwick Shazeke Muffin Thelwell Tina Trigger Zak I would like this to commence from -- dd/mm/yy
If this is for a present for someone else or you have any other requests, please fill in the details here	Why not giftaid it ? We can now claim back tax against all your donations since 6th April 2002, provided you are a UK taxpayer. If you would like to make your donation and any future donations to this charity worth nearly 1/3 more, please tick the box. That's all you have to do, we will do the rest.  * You must pay an amount of income tax or capital gains tax equal to the tax we reclaim on your donation (currently 28p for each £1 given). If your name, address or tax circumstances change then please let us know.
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