I'd like to add my support to the work being done to help the
terminlly ill and their families.
(Please tick the appropriate boxes:)
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Please send my receipt to:
Name: (Mr/Mrs/Ms/Miss/Dr)
........................................................................
Address:...........................................................
........................................................................
......................................Post Code:
................
Phone: ...............................Date:
.....................
Please post this coupon and any cheques to:-
Hibiscus Coast Hospice Charitable Trust,
PO Box 66, Whangaparoa, NSMC
1463 |