Please fill in your details on the form below. A marker will be placed on the map with the street name and you can either have your name added to it or tick the box to reman anonymous if you prefer.
Tick this box if you DO NOT want your name to appear on the map
CAP - Christians Against Poverty
Adopt Your Street
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Bethshan Church Offices, Park Road Church, Park Road, Sunderland SR2 8HR
Telephone: 0191 564 2000 Email: email@example.com
Registered Charity 1120015