FordhallOrganic

Buy a share in Fordhall Farm

Please fill in the details below, then click on the "Proceed to Payment" button to go to the Paypal payment page.

Thank you for helping to save Fordhall Farm!

Title:
First Name:
Last Name:
Address:
Address 2:
Town:
County:
Postcode:
Country:
Phone:	(with area code)
Email Address:
Date of Birth if share recipient is under 16:
Name of Guardian if share recipient is under 16:
Name of person on credit card used for this payment:
Have you paid enough tax to enable us to claim gift aid on any future donation?	Yes No
How did you hear about us and further notes?
	Please note there will be an additional £3.50 charge to cover transaction fees.