Increase my 200 Club Bonds | The Ryan Neuro Therapy Centre

Each additional bond is just £2 per month.

To increase your current bond holding, simply complete the form below and then update your EXISTING standing order to reflect the TOTAL number of bonds you wish to hold.

Name *

First

Last

Email *

Your preferred contact telephone number *

I would like to purchase the following ADDITIONAL number of entries into the draw each month.

+1 entry (+£2 per month)
+2 entries (+£4 per month)
+5 entries (+£10 per month)
+10 entries (+£20 per month)

I am aged 16 years or over. *

Confirmed

We will record your details for the purpose of your membership of the 200 Club. We will NOT pass your details on to any third parties. If you’re happy to receive information about our other fundraising campaigns and events, please click in the circle below. You can unsubscribe from our mailing list at any time by clicking the unsubscribe link in our emails.

I am happy to receive information about other fundraising initiated by The Ryan Neuro Therapy Centre

I understand that I NOW NEED TO AMEND my existing standing order to reflect my increased number of bonds (£2 per bond per month). I know that the payment should be made on the 1st of each month with my name as reference to Sort code: 08-90-79 Account Number: 65009431 Account Name: MSTC 200 Club *

Confirmed

Phone