![[Kidney Logo]](kidneyti.gif)
If you can't spare some time to help, then please spare some money instead. Simply print out this page, fill in your details and send it, along with your donation to:
The Kidney Foundation
Midlands Regional & Northern Area Office
1st Floor 89a High Street
Huntingdon
Cambridgeshire
PE18 6DZ.
In return, you will receive a receipt and details on our work.
| Full name: | ____________________________ |
| Gender: | ______ |
| Age: | ____ |
| House Number/Name: | ________________________________ |
| Street Name: | ________________________________ |
| Town/City: | ________________________________ |
| County: | ________________________________ |
| Post Code: | _______________ |
| Telephone: | ________________________ |
| Company Name (optional): | ________________________ |
| E-mail (optional): | ________________________________ |