I would like to make a donation to UKAN

Name:  _____________________________________________________

I enclose a donation of  ____________________________________
(Cheques should be made payable to UKAN)

Postal address:  _______________________________________________

____________________________________________________________

_____________________________________Postcode  _______________


Please print this form, fill it out, and return to UKAN, C/O 8 Beulah View, Leeds, LS6 2LA..

UK Advocacy Network is a company limited by guarantee. Registered in England number 3796174. Registered office: 14 - 18 West Bar Green, Sheffield, S1 2DA. Registered as a Charity No. 1077676.