BLUEBELL RAILWAY PRESERVATION SOCIETY PLEDGE I wish to pledge the following gift and/or loan for the purposes of purchasing land currently part of the Woodpax site adjacent to Sheffield Park Station, and once the funds necessary for this have been raised my pledge is to be used to provide carriage accommodation and/or a museum on the site. Please tick the appropriate box (or boxes) and complete the line where necessary. |_| I have already made a pledge to this project and the f ollowing is confirmation of the pledge I have made. GIFT |_| I wish to gift a sum of £________ . |_| I wish to gift shares to the value of £________ |_| I have paid Income Tax on income exceeding the value of this gift and wish to complete a Gift Aid form should it be deemed acceptable for the above purpose. |_| I wish to pay by standing order a sum of £________ per month for a period ending ______. |_| I wish to pay by standing o rder a sum of £________ per month until further notice. LOAN I wish to loan, free of interest the amount of £________. The loan is to be repaid within a period of _________years. I wish to make the following additional conditions to my Gift/Loan _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ ________________________________ _____________________________ _____________________________________________________________ Name:________________________________________________________ Address_______________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ E-Mail_____________________ Telephone (daytime/evening) _____________ NOTES Please do not send any monies with this form. We shall contact you next month about payment. It would greatly assist us if we receievd your pledge not later than 28th February. Send this completed form to : PDE, Bluebell Railway, Sheffield Park Station, Uckfield, TN22 3QL