Order Form for A Unfinished Journey

Name......................................................................................................................................

Address..................................................................................................................................

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

                     Tel.No (inc area code).............................................................

Number of copies Required at £7.50 each                                

Postage & Packing (see below)

Donation in desired (see below)

Total Enclosed

Postage & Packing
Orders of 1 book                                            £2
Orders up to and including 4 books                 £3
    Orders over 4 books                                      £5     

GIFT AID (only applies to donations)   

Do you pay tax?  If so, your gift can be worth almost a third more to us, at no extra cost to you.  All you need to do is complete your name and the date below and the Tax Office will give 28p for every pound you give. 

Full Name:              ………………………………………………………………………………    (Please print)

By cheque (payable to Katharine House Hospice) or by Credit Card

 Please debit my:  [  ]Visa         [  ]Delta        [  ]Mastercard     [  ]Switch      [  ]CAF Card

Name of cardholder (CAPS) ___________________________________

Card No:

Last three digits from back of card on signature strip

Valid from: _____/_____    Expiry Date: ____/____

 Issue Number (Switch only)