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Please use the form to pledge your amount. Your pledge will then be entered on the official sponsor forms.
 To qualify for Gift Aid we need your name, address and post code. Please also indicate if you are a taxpayer.
NB This information will NOT be stored on a computer database and will not be used for any other purpose.

Name

Address
(Required for Gift Aid)

Post Code
(Required for Gift Aid)

Amount                                   £

Tick box if you are a tax payer

 

E-mail address

Please contact our Webmaster   with questions or comments.
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