WAGGONWAYS FUN DAY WALK OR CYCLE 2012
SATURDAY 24th MARCH 2012
SUPPORTING THE CHRIS LUCAS TRUST
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Contact name: ......................... .................................. Address: .... .. ............................................................................................................................... ................ .... Postcode: ... Daytime telephone: ..Email address: ................. .. Please reserve my entry in the 2012 WAGGONWAYS FUN DAY So just tick here WALK □ or CYCLE□ at £6. per entry ( 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 FUN DAY WALK or CYCLE charity database. I do / do not wish to be updated periodically with event information. 1. I undertake to be bound by the WAGGONWAYS FUN DAY WALK or CYCLE 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 24th June 2012.. 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 £6 can be turned into £7.68 So just tick here □ 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 |