Unitarian Peace Fellowship

Lent Appeal & Membership Form

Name:(Mr/Mrs/Miss/Rev/Dr/Other) ......................................................................(please print)

Signature:.................................................................................................................

Address:...................................................................................................................

Address:...................................................................................................................

Post Code:........................................ Telephone:....................................................

E-mail:......................................................................................................................

I enclose the following:

Lent Appeal	£ ...............
Subscription	£ ...............
General Donation	£ ...............
TOTAL:	£ ...............

Please send your donations for the UPF Lent Appeal to:

Rev. G.R. Usher,
c/o Upper Chapel,
Norfolk Street,
Sheffield
S1 2JD

Cheques made payable to 'The Unitarian Peace Fellowship' please.