Donate Form

To make a donation to the Pollyanna Pickering Foundation please print this page (ctrl+p), and fill in the form.

Send with a cheque, postal order, or credit card details to :

The Pollyanna Pickering Foundation, The Gallery, Brookvale House, Oaker, Matlock, Derbyshire, DE4 2JJ, UK

or fax to 01629 55851

Address Line 1............................................................................................................................................

Address Line 2............................................................................................................................................

Town..............................................................................................................................................................

County............................................................................................................................................................

Postcode........................................................................................................................................................

I enclose a cheque/postal order for a total of ________________ made out to The Pollyanna Pickering Foundation

Please debit my mastercard/visa/amex/switch/maestro card with a total of___________________

Card Number : __ __ __ __ /__ __ __ __ /__ __ __ __ /__ __ __ __

Start date __ __ / __ __ Expiry Date__ __ / __ __

Issue Number ____ (Switch only)

Security code __ __ __ __ (the last three digits of the number above the signature strip on the back of your card or for Amex : four digits on the front of the card )

email address in case of queries___________________________________________________

If you would like your donation to go towards a specific Fundaraising campaign please indicate below :

____ Big Cat Conservation

____ Polly bear & the Moon Bear sanctuary

____ Ethiopian Wolf Conservation

____ Ethiopian Wildlife Sanctuary

____ Cheetah relocation Fund

____ Giant Panda appeal

____ British Widlife Rescue

 

Other - Please specify :