Action Mesothelioma Day I would like to sponsor a balloon for Action Mesothelioma Day Name…………………………………………………….. Address…………………………………………………………………………… ………………………………………………………………………………………. ……………………………………………………………………………………….. (Optional) I would like the balloon to be dedicated to……………………………. Donation (Suggestion minimum £2.00) £………………………………. Please make cheques payable to ‘Derbyshire Asbestos Support Team’. When all donations have been received we will send a cheque to the June Hancock Mesothelioma Research Fund and the Mick Knighton Mesothelioma Research Fund. Please return to Joanne Carlin, DAST, 70 Saltergate, Chesterfield, S40 1JR. DAST charity number 1119684