The Independent Appeal for Victims of the Asia Quake

Post your donations using this form

You have shown that your willingness to give is dictated not by personal whim but by the scale of the emergency. You showed this during our Darfur appeal last summer. You showed it during the Christmas appeal for Africa, and in the tsunami appeal. We hope you will summon up that same spirit of compassion once more, and use our coupon to donate.

Print out this coupon and send your gift with it to:

DEC Asia Quake Appeal/IND Appeal, PO Box 4420, London W1T 7QX

Yes, I want to help. Here is my gift of:

£15 ......................................

£50 ......................................

£100 ......................................

Other: £ ......................................

I enclose a cheque/postal order made payable to DEC Asia Quake

OR: ......................................

Debit my Visa / Delta / MasterCard / Switch / Visa Electron / JCB / CAF Card / Amex (please circle one)

Card no: ......................................

Expiry Date: ......................................

Switch issue no: ......................................

Please tick here if you want a receipt: ......................................

Details:

Title: ......................................

First name: ......................................

Surname ......................................

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

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

Postcode: ......................................

Please tick here if you do not want to receive further information from the Disasters Emergency Committee: ......................................

Registered charity no 1062638

Any income received after July 2006 will go to the next appeal