Donating to the June Hancock Mesothelioma Research Fund

Yes, I would like to donate to The June Hancock Mesothelioma Research Fund

Name___________________________________________

Address________________________________________

_______________________________________________

E-mail__________________________________________

I have enclosed a cheque made payable to:

"The June Hancock Mesothelioma Research Fund" for the amount of £__________

Please print and post this form to:

Adrian Budgen, The June Hancock Mesothelioma Research Fund. c/o Irwin Mitchell Solicitors, Personal Injury Department, Irwin Mitchell, Riverside East, 2 Millsands, Sheffield, S3 8DT

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