The Rose Charities Raffle 2009

							                           The Rose Charities Raffle 2010
                                         Order Form

Organisation        …………………………………………………………………

Registered Charity No.     …………………………………………………………

Name of contact            …………………………………………………………

Address                    …………………………………………………………

…………………………………………………………………………………………

…………………………………………………………………………………………

Tel. No.                   …………………………………………………………

E-mail                     …………………………………………………………

No. of books required      …………………………………………………………

(We are limiting the number of books available to 100 per organisation unless
you sold more than this last year and think you can do the same again.
Obviously if you manage to sell all 100 you may request more.)

Please either complete on-line or return by post to:

Anna Hampton
Alexandra Rose Charities
5 Mead Lane
Farnham
Surrey GU9 7DY

e-mail: ahampton@alexandrarose.org.uk