Charity Auction and Dinner

11 October 2003

Name
Address
E-mail
Phone
No	Description	Total (�)
	Dinner Tickets �30
	Adult B+B @ �20
	Childrens B+B �10
	Childrens creche (�10/child)
	Grand Total
I wish to donate a . Please give Details below:

Cheques should be payable to the XP support Group and sent to the address below:

Postal address

2 Strawberry Close Prestwood GREAT MISSENDEN Bucks HP16 0SG UK