On-Line Numbered Envelope Request

Please fill in the short form below to request a personalised set of Numbered Envelopes.

Fields marked with and asterisk (*) must be filled in.

NUMBERED ENVELOPE REQUEST

Name of Charity : PORTSMOUTH DIOCESEAN TRUST Charity Number 246871
Adminstered by : Portsmouth Roman Catholic Diocesan Trustees Registered
Name of Parish: BOURNEMOUTH SACRED HEART Parish Code : BOUSH

* Yes, as part of my Planned Giving to the , I would like to join the Numbered Envelope scheme. Please provide me with a pack of uniquely numbered envelopes.

Title (required)

First Name (required)

Last Name( required)

Address (required)

Town/City (required)

PostCode (required)

 YES, I would like GIFT AID my donations and will complete the On-Line Gift Aid Declaration. I am unable to GIFT AID my donations

Telephone (required)

Your Email (required)

Date of Request dd/mm/yy (required)

When you press SEND your request will be sent to the scheme organiser who will make contact with you. Thank you for your support.

Please make sure you have checked the acceptance box at the top of this form.

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