Rough Collie Rescue Adoption Sheme
Please print off the form, complete and post to
MRS M BIRCH
ROUGH COLLIE RESCUE SPONSORSHIP SCHEME
20 CONISBROUGH AVENUE
GEDLING, NOTTINGHAM.
NG4 2RE

SPONSORSHIP FORM. [Please complete all details in block capitals]
I WOULD LIKE TO
SPONSOR…………………………………………………………………………
PAID BY:
NAME [MR/MRS/MISS]………………………………………………………………….
ADDRESS …………………………………………………………………………………………………… ………………………………………………………………………………………………….. …………………………………………………………………………………………………… …………………………………………………………………………………………………….
POSTCODE ……………………………
TEL NO ………………………………………..
If you are giving the sponsorship as a gift please complete below:
A GIFT FOR:
NAME ……………………………………………………………………………………..
ADDRESS ………………………………………………………………………………… …………………………………………………………………………………. ………………………………………………………………………………….
PLEASE SEND SPONSORSHIP PICTURE AND REPORT TO ME

or TO THE RECIPIENT


I ENCLOSE CHEQUE/POSTAL ORDER FOR £…………………………………
[Delete as appropriate]

Cheques payable to Collie Rescue [Rough & Smooth]