| I would like to make a donation of £_______ (cheque enclosed). Please make cheque payable to The Philip Wayre Wildlife Trust, River Farm, Earsham, Bungay, Suffolk NR35 2AF. |
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| Name: (in block capitals please) | ___________________________________ |
| Address: | ___________________________________ |
| Postcode: | ___________________________________ | Registered Charity No: 281951 |