THE WAGGONWAYS TO HEALTH CHARITY CYCLE RIDE

SATURDAY 21st JUNE 2008

SUPPORTING THE CHRIS LUCAS TRUST

 

 Contact name: ….........................…………………………………..................................

 Address: …………....……..…………………………………………...............................................................................................................................

            ................…....………………………………………………Postcode: … … … ...  … … …

Daytime telephone: ……………………………………..Email address: ………….................………………………………..

 Please reserve my entry in the 2008 WAGGONWAYS TO HEALTH CHARITY CYCLE RIDE at £5. ( Please enclose a A5 stamped addressed envelope).

 I enclose a cheque for the sum of £ …………made payable to: Chris Lucas Trust

 I do / do not wish to be kept on the WAGGONWAYS TO HEALTH CHARITY CYCLE RIDE charity database.

 I do / do not   wish to be updated periodically with event information.

 1. I undertake to be bound by the WAGGONWAYS TO HEALTH CHARITY CYCLE RIDE event  rules,  which are available on request or at www.chrislucastrust.com

 2.  I understand that Chris Lucas Trust cannot be held responsible in any way for loss or injury to myself or any  other  party,  howsoever arising.

  3.  I understand that I have a legal responsibility to ensure all sponsorship money,  received by me

       are paid to Chris Lucas Trust before 31st October 2008. 

Using Gift Aid you can make your donation /entry fee worth more. For ever pound you give us, 

we get an extra 28 pence from the Inland Revenue, helping your donation go further.

This means that £5 can be turned into £6.40.                        So just tick here

I want all donations I’ve made since 6 April 2000 and all donations in the future to be Gift Aid until I notify you otherwise.

To qualify for Gift Aid, what you pay in income tax or capital gains tax must at least equal the amount

 Signed:

 Print Name:

 Date:

 Where did you see the advertisement?……………………………….....................................................................……………

Thank you for your co-operation, we look forward to seeing you at the event!

Please Return to:  Chris Lucas Trust,  95, Lancaster Drive, Hadrian Park, Wallsend,  North Tyneside, NE28 9TF