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VSRQVRUVKLS IRUP (please tear and return to Owen in person or post to Owen Jenkins, 66 Moray Road, Flat 2, London, N43LG) ..................................................................................................................................... I want to sponsor Owen Jenkins to study at The School of Communication Arts, Brixton. Name (please print)...................................................................... Address............................................................................................. .................................................................. Post Code...................... Code Phone (home)..............................(mobile).................................... Email.............................................................................................. One Off Donations I would like to donate £……………….. towards tuition fees. I would like to donate £……………….. towards living costs for the year I would like to donate £……………….. towards either. please tick one of the below: 1) I include a cheque with this form for the full amount to be paid to Owen Jenkins ....... 2) I have made a BACS payment of the full amount to the account of Owen Jenkins (09-01-28 . 13004485) with the reference ‘Sponsorship' ........ 3) I have given the cash to Owen in person. ........ Regular Donations To: The Manager, ................................................................................................................. Bank/Building Society Address: ........................................................................................... ................................................................................................................................................ Post Code: ................. Name of Account Holder(s): ............................................................. Bank/Building Society Account Number:…………………………………………. Account Sort Code......................................... Please pay the sum of £……………………..(in words:………………………………) every month to Owen Jenkins (Santander, sort code: 09-01-28, Account: 13004485) The first payment should be made on (dd/mm/yyyy): ......................................................... The last payment should be made on (dd/mm/yyyy): ......................................................... Signature(s):........................................................... Date:..................

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