The Cowper and Newton Museum
Restoration Appeal Donation Form

Please print this form, complete it and post it with your donation to:

The Cowper and Newton Museum
Market Place
Olney
Buckinghamshire
UK
MK46 4AJ

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The sum donated is £ .............................

Your name:

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Your adrress:

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Please make cheques payable to:

"The Centennial Appeal - Cowper & Newton Museum"

All donations will be acknowledged.

Many thanks.