To: Dr Irina Boreiko,The Refugees Worldwide Charity Organisation
29 Rushden Gardens,Ilford,Essex,1G5 OBP.
Tel:0794 931 1568
I prefer a [ ] boy [ ] girl [ ] either
My first monthly payment of £5 is enclosed (cheque/ postal orderr) or
[ ] I would prefer to pay £ 5 by Visa/Mastercard/Access/Amex/Diners
Card No: _______________________________________________________
Card: Start Date:______./______ Expiry Date:______
./________
Signature (for card payments)
Name : _____________________________________
Address : ___________________________________
Postcode:___________________________________
EUROPE : [ ] Bulgaria , [ ] Roumania , [ ] Russia
CENTRAL & [ ] Brazil , [ ] Colombia
,
SOUTH AMERICA [ ] Mexico ,[ ] Perou
AFRICA [ ] Ethiopia , [ ] Kenya, [ ] Sierra Leone
[ ] The Gambia , [ ] Togo
ASIA [ ] India , [ ] Philippines , [ ] Thailand
___________________________________________________________
____________________________________________________________________________________________
[ ] Please
send my information pack today. Address ___________________________________________________________________________________ [
] I [ ] I do not wish to sponsor a child now but — enclose a gift of £________________
Name ____________________________
Address __________________________
Posicode _________________________
THE REFUGEES WORLDWIDE CHARITY ORGANISATION
Charity Reg No. 1053870