Yushu Earthquake Emergency Relief
Yushu Re-build for the future
I enclose a cheque for £ _________ (please make cheques payable to: ROKPA)
Or please charge my CAF/Credit/Debit Card
Card Number: __ __ __ __ __ __ __ __ __ __ __ __
Valid From: __ __ Expiry Date: __ __ Security number: __ __ __
Signed __________________________________________ Date ___________
Mrs/Mr/Miss/Ms ___________________________________________________
Address _________________________________________________________
_________________________________________________________________
Post Code ________________ Email __________________________________
THANK YOU FOR YOUR SUPPORT!
Please return this form to: ROKPA UK Overseas Projects, Kagyu Samye Ling, Eskdalemuir, LANGHOLM, Dumfriesshire DG13 0QL Tel: 01387 373 232 Ext. 230
ROKPA UK is part of ROKPA Trust, reg. charity in England & Wales (1059293) and in Scotland (SCO38628)