Please detach and send with your donation to Czech Memorial, c/o Consulate General
of the Czech Republic, 12A Riselaw Crescent, Edinburgh EH10 6HL

............................................................................................................................................................

A Gift to help Czech Memorial

 

Please accept my donation of: £10 £25 £50 £100 any preferred amount..........................
Please make cheques or postal orders payable to: Czech Memorial
I am a UK taxpayer and declare that this donation is a Gift Aid

 

......................................................... .........................................................
signature date

Thank you