PLEDGE FORM.   Please print and send the whole of this form.
Written pledge to The Otterham & St Juliot Hall Registered Charity Nº1004211.
I (Full name)	......................................................................
of (Address)	......................................................................
	......................................................................
	......................................................................
	......................................................................
pledge that at a future date I will, when called upon to do so, donate the sum of   £500/other higher amount of £ .....................*.
I wish for/do not need* this pledge to be kept confidential.
*   Please delete as appropriate.
Signature	.......................................................
Date	.......................................................
Completed forms should be sent to the Treasurer at:   Penwarnick, Marshgate, Nr Camelford, Cornwall PL32 9YN.
To conserve funds PLEASE always include a stamped self addressed envelope.
Internet Pledge Form