FOCM Application Form

Application Form

If you would like to become a friend of Camp Mohawk, please complete and submit your details below. We will send you information and an application form by post for you complete and return.

Alternately, you can download a copy of the Application Form and the Covenant/Standing Order Form (Adobe Acrobat Format ) for you to print. Please return the completed Application form and Covenant form to us at the address below. Please send the completed Standing Order form to your Bank or Building Society.

Camp Mohawk, The Woodland Centre Trust, Wargrave, Berkshire, RG10 8PU

Section 1.	Your Details
Title:	* Required Fields
Surname:	*
First Name(s):	*
Company Name:	(if Applicable)
Contact Name:	(if Applicable)

Address :	*


Postcode:	*
Telephone:	* (include STD code)
Fax:	(include STD code)
Email:	*
	How did you hear about Camp Mohawk?

Section 2.	Donations to Camp Mohawk - Registered Charity No. 278681

Yes No	Would you like to donate to Camp Mohawk under a Covenant? If you are a tax payer, completing this form will increase the amount we receive by at least 30%

Yes No	Would you like to donate automatically each month by Standing Order? Please complete and send the Standing Order Form to your Bank or Building Society

	We're happy to receive any amount you can afford to donate, and every donation is greatly appreciated - Thank You!

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If you don't have a copy of Adobe Acrobat Reader, please click here