Contributions/Donations.

Having decided to Donate I want you to know that your Contribution towards my work, what ever the amount, (no amount being too small), is gratefully appreciated and will help to spread the word to those not quite as fortunate as ourselves yet who are desperately in need of help. One their behalf, thank you.

You might like to print this sheet before filling it out and posting it (along with your personal donation) to

Old Steve

21 Hungate Court

Hunmanby'

Nr Filey.

North Yorkshire

UK.

I would appreciate it if you made out your cheques, money orders or Postal Orders to S MURRAY.

This is not obligatory and you can leave any, or all, of it blank if you so wish.

E-mail Address.

Mr,Mrs,Ms,Miss

First name

Surname

Address

Country

Post Code.

Please consider the items below and tell me your preference, by DELETING those NOT APPLICABLE

Show my FULL name, TOWN/CITY and COUNTRY, when listing me as a patron.

Show my FULL name and COUNTRY only when listing me as a patron.

Show only my INITIALS, TOWN/CITY and COUNTRY, when listing me as a patron.

Show only my INITIALS and COUNTRY, when listing me as a patron.

DO NOT list me as a Patron. Thank you.

IMPORTANT NOTE

All PERSONAL INFORMATION is for my records and administrative purposes only. It will be held in strict confidence. I do not and will not pass on this information to any third party.

In order that I can acknowledge receipt of your generous donation, please provide the following,

My preferred method. We don't have to pay commission on this type of transaction and therefore by using this method I receive the full amount that you intend.

Body

Mind

Therapy.

Complimentary

Complementary

Mental

Weight Loss

Weight Control.