Support a Child Form
Please print and return this form to: Mrs. A. Buchan, The Anita Goulden Trust, 144 Bronsart Road, London SW6 6AB.
I would like to support (state name of child/young person):
State your 2nd Choice:
I will donate £10 per month to this child/young person* 
(please tick):
I will donate £ to the above child/ young person (above £10 please specify):
I would like to claim Gift Aid on this donation
Name:
Address:
Postcode:
Telephone Number:
Email:
Signature:
*Donations should be made to The Anita Goulden Trust who take responsibility of ensuring your donation reaches the child/ young person you have chosen to support.