"SPONSORED WALK AND WHEELCHAIR PUSH"
Registered Charity No 501715 President The Lord Mayor of Leeds Friends of PHAB 40th Anniversary replacement minibus appeal SPONSORED WALK & WHEELCHAIR PUSH Roundhay Park Leeds 8 (Start near Lakeside Cafe) Sunday 3rd October 2010 start 11.00am SPONSORSHIP FORM Sponsor's Name, Address, Telephone Number Amount *GiftAid 1 2 3 4 5 6 7 8 9 10 11 12 Please tick the Gift Aid box if you pay UK Income Tax. To qualify for Gift Aid, what you pay in income tax or capital gains tax must at least equal the amount PHAB will claim in the tax year. Grand Total Participant’s Full Name____________________Tel. No._________ School/group __________________________ Please contact Ann Hart, Secretary, 1 The Dell Bardsey Leeds LS17 9DL 01937 573722 or Mike Ball, Chairman on 0113 2824590