Cartref Dyffryn Ceiriog Cheshire Home
Donation Form

To:-

The Manager
Cartref Dyffryn Ceiriog
Cheshire Home
Dolywern, Nr Llangollen
Wrexham, LL20 7AF

I enclose remittance of £.......................... as a donation to
Cartref Dyffryn Ceiriog Cheshire Home.

(Please complete in block capitals)

Name:-      __________________________________________________

Address:-  _______________________________________________________

                     _______________________________________________________

                     _______________________________________________________

                     _________________________            Postcode:- _______________

Signed:- ______________________

Date:- ___________________

Cheques should be made payable to
"Cartref Dyffryn Ceiriog"

Registered Charity Number 218186