Donation Form

The Trustees ask you for further support to help us complete the Southern DC3 Charitable Trust project to preserve and maintain our heritage aircraft.

Name: Mr. / Mrs. / Ms / Dr / Prof.

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Address:

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City Post code

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Telephone Day Evening Mobile Facsimile

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Email address:

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I would like Newsletters Yes No

Donation payment option one:

A one off payment $50.00 $100.00 $150.00 $250.00

I/we are pleased to donate the sum of.

$...........................................................

Attached is my cheque made payable to Southern DC3 Charitable Trust

Mail Cheque to PO Box 2834, Christchurch 8140

Or charge my donation to my Visa / MasterCard / Automatic payment

Card No.........................................................Expires.......

Name of Cardholder.................................................................

Signature

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Please post my Free Lithograph print of:

Don Wasley – AMY Traverses Southern Alps Or Mark Leatham Mount Potts

I have included $5.00 postage: Donations are tax deductible