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Please print out this form and return with a cheque for £450.00 deposit payable to;- “THE SWANAGE PIER TRUST” Hon Fund Raising Treasurer, Sponsored Seats, Swanage Pier, Pier Approach Swanage Dorset BH19 2AW
Name......................................................................................................................................
Address..................................................................................................................................
.................................................................................................................................................
Post Code............................................................Telephone No...........................................
I promise to pay the balance of £450 when the seat is in position on the Pier
Signature..............................................................Date...........................................................
Message (BLOCK CAPITAL LETTERS). A maximum of 5 LINES DEEP and please do not exceed 60 LETTERS IN TOTAL. Note; the grid shown below is purely for your guidance and not on the finished plaques. Don’t worry if your message is less than 5 lines or off to one side, as this will be centered up and down during engraving.
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