Bonny Baby and Bonny Toddler 2004 Entry Form

in aid of South Lakeland Postnatal Wellbeing and the South Lakeland Hydrotherapy Trust.

PLEASE PRINT YOUR DETAILS CAREFULLY - ONE ENTRY COUPON PER CHILD.

Child's name: ___________________________________

Parent's name:___________________________________ Address:__________________________________________________________________________________________ ______________________________________________. Tel no (day)___________(evening___________... Age category: (tick as appropriate).baby _____ toddler ________ .I am making a minimum donation of £4 per child, which I understand is a charitable donation to be divided between South Lakeland Postnatal Wellbeing and the South Lakeland Hydrotherapy Trust.I enclose a cheque/postal order for £ ________.You can also pay by Mastercard/Visa/Switch Mastercard/Visa/Switch card Card number:__/_/_/_/_/_/_/_/_/_/_/ _/_/_/_/_/ Issue:__/__/ Expiry date:__/__/Name on card:_____________________________________ I would like my picture returning by post and have enclosed an SAE (tick box appropriate) __.

I will collect my picture from The Westmorland Gazette (tick as appropriate) __.

If you do not wish to receive any further communication from Westmorland Gazette Newspapers, please tick this box. __.No cash alternatives. No photocopies accepted. The Editor's decision is final. Full list of rules available from Gazette newspaper sales department.