If
you would like to help or request further information,
please complete
the form below:
Name:
Address: Town:
Post
Code:
Telephone (inc. code):
Email:
I
would like to help. Please send me information about:
Volunteering:
Making a regular gift:
Leaving a legacy:
Supporting the work of The Haven:
Please add my name to your mailing list:
I would like to:
Become a member of The Haven (£5.00 per annum):
Subscribe to The Haven Newsletter - Info (2.50 per annum):
Make
a donation of: £5:
£10:
£20:
£50:
£ Other:
TOTAL £
Please
make cheques/postal orders payable to The Haven
Wolverhampton and return to Public Relations Officer, The Haven
Wolverhampton, PO Box 105, Wolverhampton, WV1 4LP
