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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

