sponsor

Yes! I want to help restore the Burton Mausoleum and Cemetery at Mortlake
I wish to make a contribution and become a:
	US$250 - Sustaining Contributor £ 175 (approx.)	As a Sustaining Contributor, you will have your name permanently inscribed on a wall tablet, mounted on the brick wall behind the Mausoleum. You will also receive the Coffee Mug.
	US$100 - Supporting Contributor £ 75 (approx.)	As a Supporting Contributor, you will receive a Coffee Mug made from Fine English Bone China with a sketch of the Mausoleum, produced in England and specially commissioned by the Church at Mortlake.
	US$25 - Friends of the Burton Tomb
	US$ (you can choose any amount)
We ask you for your donation in US dollars because we are charged high amounts by the bank for exchanging other currencies. You can find the value in your local currency by using a currency converter. If you would like to send this form by fax, please click here before filling in the information
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	*Secure online contribution coming soon.*