CHRISTMAS GIFTS ORDER FORM

Please complete this order form carefully.

After you have completed your order you will be able to make a donation for the total amount. Please note there is a minimum donation of £10.

Please enter quantities for the gifts you wish to order in the appropriate boxes. You should also specify which photo card you wish to receive (eg A1 or A2).

Your Gift is a Holiday in Britain for a child in remission from cancer

Every Christmas and summer we bring children who have had cancer, and
are now in remission, for a month long recuperative holiday in
Britain. Some of the children are very young, and come with their
mothers. Others may be in their teens, but for all of them the holiday
is an important part of their recovery process.

A: £400 for holiday (enter quantity)

Card A1

Card A2

Your Gift is to provide medicines for children being treated for cancer

We often receive SOS requests from the Children's Cancer Hospital in
Minsk for help in buying urgently needed medicine which is not
available in Belarus. Sometimes the medication we buy enables a child
to have a bone marrow transplant which he would otherwise not have
been well enough to have.

B: £200 for medicines (enter quantity)

Card B1

Card B2

Your Gift is to provide a month's salary for extra carers at Zhuravichi

At Zhuravichi Orphanage there are over 100 children with a wide range
of disabilities. For the most disabled – those confined to cots or
with severe learning difficulties – the extra carers we sponsor ensure
that the children get the individual attention they need.

C: £100 for month's salary (enter quantity)

Card C1

Card C2

Your Gift is a two week holiday in Belarus for a disabled young person

Every Summer we fund a two week break at a Holiday camp for young
people with physical disabilities or learning difficulty. Some live in
institutions, others are at home with their parents, but all are over
the moon to have a holiday which would be impossible for them without
our support.

D: £80 for camp holiday (enter quantity)

Card D1

Card D2

Your Gift is a Day Out in Minsk for teenagers at the Cancer Hospital

For children being treated for cancer at Barovliani Hospital, outside
Minsk, the chance of a day out in the city provides an exciting break
to look forward to. Through the Belarusian children's cancer charity
'Children in Trouble' we take a group of about 8 youngsters into Minsk
to go bowling, or to the circus or cinema and then out to a café.

E: £50 for day out (enter quantity)

Card E1

Card E2

Your Gift is to send a Baby Pack to help new parents in need

Babies are sometimes abandoned in Belarus because the mother is too
young or too poor to cope, or the child has a disability. We are
planning an extensive programme of support for these families, and as
part of this we will be providing packs of nappies, baby clothes and
toiletries to new parents in need of support.

F: £40 for Baby Pack (enter quantity)

Card F1

Card F2

Your Gift is a big box of Craft Materials for children in an orphanage
in Belarus

We support a number of orphanages in Gomel Region, plus institutions
for young adults with disabilities. At all these places, and the
Psychiatric Hospital, the provision of art and craft materials – pens
and pencils, paints and paper, scissors and glue, and sewing materials
– will provide the children with hours of activity and fun.

G: £25 for Craft Materials (enter quantity)

Card G1

Card G2

Your Gift is to provide a present for a family in the care
of a Home Hospice Team

We have a Palliative Care Team in Gomel who support around 20 families
with children with cancer, or with life-limiting conditions. And we
also support the larger Home Hospice Team in Minsk. Hospice nurses
bring nappies, medicines or other support when they visit the families
and they will now be able to provide a gift for each child.

H: £15 for Hospice Present (enter quantity)

Card H1

Card H2

Your Gift is to provide a present for a child at the Cancer Hospital

Children spend many months undergoing treatment at the Cancer Hospital
at Barovliani just outside Minsk. Life during this time is full of
fear and anxiety, but long periods in hospital can also be boring. A
Gift will let the children know that we are thinking about
them and wishing them a speedy return to health.

I: £10 for Cancer Hospital Present (enter quantity)

Card I1

Card I2

Your Gift is to provide a Present for a child at the Mayflower Centre

In 2004 we set up the first overnight respite care centre in Belarus.
The Mayflower Centre provides short stays for disabled children from
over fifty families, giving their parents the break they need.

J: £10 Mayflower Present (enter quantity)

Card J1

Card J2

Your Gift enables a child to go to school by providing transport for a week

Children in wheelchairs are normally educated at home in Belarus. But
in 2005 we set up a small class for young children in wheelchairs at a
lovely special school in Gomel. Six children are now able to attend
school every day and they love it! Our minibus and driver collects the
children from their homes and takes them back in the evening.

K: £5 for school transport (enter quantity)

Card K1

Card K2

Calendar 2009

L: Calendar 2009 £3.00 (enter quantity)

Christmas cards

A pack of six A5 Christmas cards (three each of two designs)

M: Christmas cards £2.50 per pack of six (enter number of packs)

Now please add up the total amount and pay by making a donation.

I would like to order the above items. I am making payment using the Donation Form

TOTAL AMOUNT £

We will package your goods immediately you place your order and despatch them to you once we receive your donation. Many thanks.

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I am a UK taxpayer and want my donation to be gift aided (please tick) GiftAid

The donation page will appear automatically after you click the submit button below, and then the "click here to continue" button on the Thank You page.