Health and Happiness Donation Form

Please print and return this form.

Name:
Address:
Telephone Number:
Email Address:
I wish to donate:	£
I enclose my Cheque/Postal Order made payable to "Health & Happiness"
Signature:

Please PRINT and return this form to:

Debbie MacKenzie
Health and Happiness
The Gateway
Volunteering Highland
1A Millburn Road
INVERNESS
IV2 3PX

Thank you for your kind support.