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OUR  AIM  IS TO HELP PATIENTS  AND STAFF AT BART’S

FIRST FLOOR
NORTH  WING ANNEX
ST. BARTHOLOMEW'S HOSPITAL
LONDON EC1A 7BE
Tel: 020 7601 8132,
Mobile 07847 110181
Fax No. 020 7601 7344
bartshearts@btinternet.com

magnus_don@btinternet.com

BARTS HEARTS

Name...........................................Mr/Mrs/Ms

Address............................................................

.........................................................................

Post Code................................Tel:

  I wish to become a member of
               BART’S HEARTS

I agree to pay a subscription to the Special Trustees, which will be used at the discretion  of the executive Committee of Bart’s Hearts for the benefit of the cardiac wards of
Saint Bartholomew’s Hospital and its associated hospitals.

The annual subscription is £10.00 renewable on September 1st of each year. I enclose  my first cheque for £10.00 payable to
 BART’S HEARTS  Charity No. 1050799.



Signed........................................................Date.....................

Please print , complete and send  to :-
Bart’s Hearts
North Wing Annex
St. Bartholomew’s Hospital
London EC1A  7BE