"I'd like to be able to thank each and every one of you in person for the work you
                   are doing on my behalf.  I feel so honoured to be surrounded by so many people
                   that have my welfare at heart and rest assured you remain in my thoughts and
                   prayers.  Thank you all,"
                                    Tracy Housel - November, 2001


For donations to Reprieve on behalf of Tracy Housel, please
PRINT THIS FORM, complete it and send it to:

REPRIEVE, PO Box 31941, London , W2 6XY


I would like to make a donation to Reprieve of £................................ (please make your cheque/postal order/CAF cheque payable to "Reprieve")

or Charge to my credit/debit card VISA / MASTERCARD/VISA (debit)
(delete as appropriate)


Card Number  .............................................................................................
Name and Initials
(as they appear on the card) .............................................................................................
Card expiry date  ............................................................................................
Statement Address  .............................................................................................
Contact telephone number  .............................................................................................
Signature  .............................................................................................

Or you could transfer funds directly from your account to Reprieve:

Account Name:    
Reprieve
Account number:  
65071605 00 
Sort Code:           
08-92-99
Bank:                  
The Cooperative Bank



For regular donations, please fill out this Bankers Order Form, below and send it to:
REPRIEVE, PO Box 31941, London, W2 6XY

Title........................Name................................................................................................

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

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

......................................Postcode........................Country........................

Please pay Reprieve (
registered Charity No. 1080147) £........................ each month/ quarter/year (delete as appropriate) until further notice, and debit my account

Account No............................................. 
Sort Code................................................ 
Starting on................................................
(please make this date at least one month from now)
Signature................................................

Your Bank Details:

Bank Name and Address........................................................................................................................
...........................................................................................................................................................

I want Reprieve to treat all donations I have made since 6th April 2000, and any future donations, as Gift Aid donations until further notice.
Date: ................. Signature................................................................


Gift Aid: Since April, 2000, any charity receiving a donation of any amount from a UK tax payer can get back nearly 30% tax at no extra cost to the donor. Higher rate taxpayers can also claim the difference between higher and basic rate tax for themselves. To enable us to benefit from this, please complete the statement on the donation form above. Please inform us if your tax situation changes.

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