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Company name
..
.........................
Contact name
...
..........................
Address
...
.........................
..
.........................
..
.........................
..
.........................
Telephone number
..........................
Amount of sponsorship
£
..
............................
Would you like
to choose the type of child you wish to sponsor, if yes, please
select from the following
| Learning
difficulties |
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| Behavioural
difficulties |
 |
| Deprived
background |
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| Any
of the above |
 |
Would you like
to receive details of the child that you have sponsored?
| Yes |
 |
| No |
 |
If
yes, would you like to receive quarterly updates on the progress
of your chosen child?
| Yes |
 |
| No |
 |
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