Dedham Parish Church - APPLICATION FORM

APPLICATION FORM

I would like to sponsor a step in the Dedham Parish Church Tower Steps Appeal

Name[Mr/Mrs/Miss]:...........................................

Address:.....................................................

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

Postcode:....................

The name engraved in the step will be (25 letters maximum):

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

I would like to make a donation through the Gift Aid Scheme (please tick) [ ]

I enclose a Cheque/Bankers Order for £350 in favour of The Friends of Dedham Parish Church Tower Steps Appeal

Date:.............................. Signed:..............................

Please send to:-

Hon. Treasurer
Parish Office
The Vicarage
High Street
Dedham
Colchester
CO7 6DE