PLEASE FILL IN THIS
SIMPLE FORM. IT’S
REALLY IMPORTANT.
Complete and return this form so we can send you a
certificate that includes how much your bags could be
worth to our life-saving research.
YOUR DETAILS
Name
Organisation name
Address
Postcode
Email address
Telephone number
Total number of bags donated
SHOP USE ONLY
Area Manager
Receiving shop code
Receiving shop name
Date bags received
Average bag value*
NOTE TO SHOP STAFF: ONCE COMPLETED PLEASE
POST TO THE NRC FOR PROCESSING.
*Calculation based on 10% of the number of donated bags.
Please tick: (_) if you would like to receive this information via email (_) if you would prefer not to be contacted by post or telephone. Cancer Research UK
is a registered charity in England and Wales (1089464), Scotland (SC041666) and the Isle of Man (1103). © Cancer Research UK 2013. All rights reserved.