Please print off and complete this form.

Donation form

Name ...........................................................................................

Address ........................................................................................

......................................................................................................

Postcode .............................

I wish to make a donation of ...................and enclose a cheque/money order payable to The Twickenham Museum (registered charity no1028984).

If you are a UK tax payer your donation will be worth more to the museum under the Gift Aid scheme.

I am a UK tax payer and would like The Twickenham Museum to reclaim tax on this donation and on any donations I may make in the future.

Signed .................................................................... Date ........./.........../............

Please enclose the printed form with your cheque/money order and send to:

The Honorary Treasurer
The Twickenham Museum
25 The Embankment
Twickenham
TW1 3DU

Thank you for supporting The Twickenham Museum.