Tabitha Foundation UK Charity Registration #1102500 www.tabithauk.com Order Form: Wells for Life Project For deliveries by Christmas, forms must be received no later than 17^th December.
PURCHASER NAME:	ON BEHALF OF (if other than purchaser):
ADDRESS:	MAILING ADDRESS IF DIFFERENT FROM PURCHASER'S:
TEL:
EMAIL:
SPECIAL NOTE: (birthday, anniversary, in memory, etc).
___ Gift Aid (tick please) (If you are a UK taxpayer, and your donation does not exceed the amount of tax paid. An additional 28% can be claimed by Tabitha from Inland Revenue, which will go towards further wells in Cambodia)
___ Tick here if you wish to receive email updates of Tabitha’s work being done in Cambodia
Please tell us how you learned about Tabitha?
# Wells ordered: _____ @ £60 per well Amount of cheque enclosed: £__________ Please make cheques out to Tabitha UK and use a separate form for each well ordered if recipient information is different.	Please mail this form with payment to Tabitha UK 50 Southerton Road London W6 0PH
A certificate will be mailed directly to the recipient, unless otherwise noted. Kindly verify that the information you have provided is accurate. If you have any queries,please get in touch with us at uktabitha@yahoo.co.uk or 07900 913795

Tabitha Foundation UK

Charity Registration #1102500

www.tabithauk.com

Order Form: Wells for Life Project

For deliveries by Christmas, forms must be received no later than 17^th December.

PURCHASER NAME:

ON BEHALF OF (if other than purchaser):

ADDRESS:

MAILING ADDRESS IF DIFFERENT FROM PURCHASER'S:

TEL:

EMAIL:

SPECIAL NOTE: (birthday, anniversary, in memory, etc).

___ Gift Aid (tick please)

(If you are a UK taxpayer, and your donation does not exceed the amount of tax paid. An additional 28% can be claimed by Tabitha from Inland Revenue, which will go towards further wells in Cambodia)

___ Tick here if you wish to receive email updates of Tabitha’s work being done in Cambodia

Please tell us how you learned about Tabitha?

# Wells ordered: _____ @ £60 per well

Amount of cheque enclosed: £__________

Please make cheques out to Tabitha UK and use a separate form for each well ordered if recipient information is different.

Please mail this form with payment to

Tabitha UK

50 Southerton Road

London W6 0PH

A certificate will be mailed directly to the recipient, unless otherwise noted. Kindly verify that the information you have provided is accurate. If you have any queries,please get in touch with us at uktabitha@yahoo.co.uk or 07900 913795