Donation Form

The Jennifer Trust has many outgoings supporting adults with SMA and families with children with SMA. Fundraising is always a big part of the work we do.
If you would like to make a donation this page should help make it simpler.

If you do not want to make an On-line donation you can print out this page on your printer, fill it in and post it or fax it to the address above.

JTSMA
Freepost MID 22097
STRATFORD upon AVON
Warwickshire, CV37 0BR
U.K.

FAX Number : 0 (+44) 1789 268371

PAYMENT METHOD
Post or fax :

Visa / Mastercard / Switch* Card No.:

(*Delete as appropriate)

Name on Card :

Valid from : . . . / . . . Expiry Date : . . . / . . .

Issue Number : . . . . (Switch only)

Card Holder's Signature :

If you are a UK tax-payer and have or will pay tax equal to the tax reclaimed by The Jennifer Trust, please sign the box below and give your name and address on the right to enable us to reclaim the tax by Gift Aid.

I am an income-tax/capital-gains-tax
payer in the UK:

Date:

Post only :

I enclose a Sterling cheque / PO to the value of:
Ł __________
Please make cheques payable to "JTSMA", with
your address and cheque card number on the back.

If you would like an acknowlegement
please put your name and address here :

Name:

Address:

:Post Code

If you want more information about the Jennifer Trust,
please contact us using the Contact Page.

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