Folk for Fukushima

Please reserve following tickets for

Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Email . . . . . . . . . . . . . . . . . . . . . . . . . .

Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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There is no charge for children of moderate size and behaviour!!!

Please print this page, complete and return with cheque, payable to A Jackson to:

		Fukushima Appeal
		Merrymead
		63 Church Road
		Wootton Bridge,
		Isle of Wight,
		PO33 4PZ

Please enter your Email address so we can acknowledge receipt of your payment.

Alternatively if you enclose a SAE a receipt will be posted to you.

We only have a few weeks so be quick!!

Andy