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The Black Mountain Walk

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                                                                                                                                                                                                                                                    The Black
Registration form for
The Black Mountain Walk 2010
All participants are requested to raise a minimum
of £50 in sponsorship for Marie Curie Cancer Care.



                                                                                                                                                                                                                                                    Mountain
Please enter me in the The Black Mountain Walk                           Make a Gift Aid declaration to make your
on Sunday April 25, 2010.                                                gift go further
Register                                                                 Thanks to the government’s Gift Aid scheme, Marie Curie




                                                                                                                                            Charity reg no. 207994 (England & Wales), SCO38731 (Scotland) M135
Title:       Forename:                                                   Cancer Care can reclaim 28p on every £1 donation, increasing




                                                                                                                                                                                                                                                        Walk
                                                                         the value by almost a third at no extra cost to you. Please tick
Surname:                                                                 one box.
Address:                                                                       I am a UK taxpayer and would like to treat all
                                                                               donations I have made for the six years prior
                                                                               to this year, and all donations I make in future
                                                                               as Gift Aid donations.
                                                                         Today’s date __ __ /__ __ / __ __ __ __
Postcode:
                                                                               I am not a UK taxpayer.
Phone (day):
                                                                         I understand that I must have paid an amount of
Phone (eve):                                                             Income Tax and/or Capital Gains Tax at least equal to
                                                                         the tax you reclaim on my donations.
Email*:
                                                                         Please let us know if your circumstances or address change
Date of birth (D/M/Y):
                                                                         so that we can update our records. Thank you.
* By giving us your email address, you agree that we may use
  it to send you information about our work, campaigning,
  fundraising and other activities                                     Choice of Route (Please tick one)
                                                                       Main Walk
Group registration                                                     10 miles in the Vale of Ewyas. Fairly easy hill walking.
Are you registering as part of a group?
                                                                       Rugged Route
Yes         No       (Please tick)                                     11 miles walk including section of Offa’s Dyke path
Group name: ___________________________                                Steep moorland walk.
Number of people: ______________________
                                                                       Marie Curie Cancer Care would like to keep you up to date
What is your preferred walking pace?
                                                                       with the work of the charity (including fundraising activities
Easy        Moderate           Strenuous                               using the contact details you provide) which we hope will be of
                                                                       interest to you. If at any time you do not wish to receive this
                                                                                                                                                                                                                 Sunday April 25, 2010
If you can’t join us you can still help by sending                     information please contact us at the address provided or tick
a donation. As I cannot take part in The Black                         this box.
Mountain Walk I would like to make a donation of
£_______________                                                        Completed form and fee
                                                                                                                                                                                                                 Llanthony Abbey to
Where did you first hear about this event?:
                                                                        Please send a £10 registration fee
                                                                        (non-refundable) by cheque or postal order
                                                                        only payable to ‘Marie Curie Cancer Care’
                                                                                                                                                                                                                 Capel y Ffin and back
____________________________________
Please feel free to photocopy this form if you have                     together with your entry form to:
more than one entry or call 01884 703536 for more                       Jon Duckham
copies or further information.                                          Regional Events Officer (Wales and The West)                                                                                             10 mile circular walk through the beautiful Vale of Ewas
                                                                        Marie Curie House, 2 The Avenue, Canal Hill
                                                                        Tiverton, Devon EX16 4HS



Marie Curie Cancer Care provides high quality nursing, totally free,
to give people with terminal cancer and other illnesses the choice
of dying at home, supported by their families.
                                                                                                                                                                                                                 www.mariecurie.org.uk
                                                                                                                                            
Registration form for
The Black Mountain Walk 2010
All participants are requested to raise a minimum
                                                                                                                                                                                                                 The Black
                                                                                                                                                                                                                 Mountain Walk
of £50 in sponsorship for Marie Curie Cancer Care.
Please enter me in the The Black Mountain Walk                           Make a Gift Aid declaration to make your
on Sunday April 25, 2010.                                                gift go further
Register                                                                 Thanks to the government’s Gift Aid scheme, Marie Curie                                                                                 For Marie Curie Cancer Care




                                                                                                                                            Charity reg no. 207994 (England & Wales), SCO38731 (Scotland) M135
Title:       Forename:                                                   Cancer Care can reclaim 28p on every £1 donation, increasing
                                                                         the value by almost a third at no extra cost to you. Please tick
Surname:                                                                 one box.                                                                                                                                Sunday April 25, 2010
Address:                                                                       I am a UK taxpayer and would like to treat all
                                                                               donations I have made for the six years prior
                                                                               to this year, and all donations I make in future
                                                                               as Gift Aid donations.
                                                                         Today’s date __ __ /__ __ / __ __ __ __
Postcode:
                                                                               I am not a UK taxpayer.
Phone (day):
                                                                         I understand that I must have paid an amount of
Phone (eve):                                                             Income Tax and/or Capital Gains Tax at least equal to
                                                                         the tax you reclaim on my donations.
Email*:
                                                                         Please let us know if your circumstances or address change
Date of birth (D/M/Y):
                                                                         so that we can update our records. Thank you.
* By giving us your email address, you agree that we may use
  it to send you information about our work, campaigning,
  fundraising and other activities                                     Choice of Route (Please tick one)
                                                                       Main Walk
Group registration                                                     10 miles in the Vale of Ewyas. Fairly easy hill walking.
Are you registering as part of a group?
                                                                       Rugged Route
Yes         No       (Please tick)                                     11 miles walk including section of Offa’s Dyke path
Group name: ___________________________                                Steep moorland walk.
Number of people: ______________________
                                                                       Marie Curie Cancer Care would like to keep you up to date
What is your preferred walking pace?
                                                                       with the work of the charity (including fundraising activities
Easy        Moderate           Strenuous                               using the contact details you provide) which we hope will be of
                                                                       interest to you. If at any time you do not wish to receive this
If you can’t join us you can still help by sending                     information please contact us at the address provided or tick
a donation. As I cannot take part in The Black                         this box.
Mountain Walk I would like to make a donation of
£_______________                                                        Completed form and fee
                                                                        Please send a £10 registration fee
                                                                                                                                                                                                                 Llanthony Abbey to
Where did you first hear about this event?:
____________________________________
                                                                        (non-refundable) by cheque or postal order
                                                                        only payable to ‘Marie Curie Cancer Care’
                                                                        together with your entry form to:
                                                                                                                                                                                                                 Capel y Ffin and back
Please feel free to photocopy this form if you have
more than one entry or call 01884 703536 for more                       Jon Duckham                                                                                                                              10 mile circular walk through the beautiful Vale of Ewas
copies or further information.                                          Regional Events Officer (Wales and The West)
                                                                        Marie Curie House, 2 The Avenue, Canal Hill
                                                                        Tiverton, Devon EX16 4HS



Marie Curie Cancer Care provides high quality nursing, totally free,
to give people with terminal cancer and other illnesses the choice
of dying at home, supported by their families.
                                                                                                                                                                                                                 www.mariecurie.org.uk
Come and discover the delights of this part of the Welsh English border
– or Marches as it’s sometimes called. The walk starts and finishes at
the historic ruins of Llanthony Priory and takes in the picturesque
landscape of the Vale of Ewyas, incorporating stunning views of the
Black mountain and – for those who choose the rugged route - the walk
includes a section of Offa’s Dyke the famous landscape feature created
in early Saxon times.




 Walk
 description
The circular route offers two choices both
of just over 10 miles. The main walk will be
along the valley following paths and quiet                                                               Capel y Ffin Chapel,
backroads through wooded glades to Capel y                                                               one of the oldest and smallest in Wales
ffin before coming back on the opposite hill
back to the starting point at Llanthony.

The Priory is noted not only for its              Why take on a challenge                                                                          What’s included?
beautiful location, 11th centaury Gothic                                                                      The walk is through
                                                  for Marie Curie Cancer Care?
Norman architecture but also for having                                                                  some of the most beautiful                It costs £10 to register for the Black
a functioning pub within the old building;                                                                                                         Mountains Challenge, and we ask
there are car parking facilities and loos here.
                                                  Marie Curie Cancer Care provides high quality          scenery in Mid Wales                      all participants to try and raise £50 in
                                                  nursing care to terminally ill patients in their own
                                                  homes. By taking on a one of these challenges and      easily accessible yet wild                sponsorship – though this is a target
For those with a lot more energy and some                                                                                                          rather than a minimum requirement.
hill walking experience we will offer the
                                                  raising sponsorship, you are helping us continue       and remote with history
                                                  providing this care.                                                                             We will provide:
much harder walk up onto the ridge and a
                                                  Every £20 you raise will help us provide one hour      accompanying your every
section of Offa’s Dyke, before rejoining the
main walk route at Capel Y Ffin. This walk
                                                  of nursing care in a patient's home.                   step. I warmly invite you                 •	 Marshals	and	stewards	along	
                                                                                                                                                      the route
will be guided by Mountain Leader Qualified       Get even more from your challenge online               to explore this hidden gem
instructors and although not much longer,         You can use Justgiving to set up your own                                                        •	 Complimentary	refreshments	
both the ascent onto the ridge and descent        sponsorship page, and get support from                 of a walk and raise money                    at the end of your challenge
back to Capel y Ffinn are very, very steep.       friends and family. Visit www.justgiving.com/          for our worthy cause.
                                                  mariecurieevents - it's easy, quick and secure.                                                  •	 A	certificate	to	mark	your	
                                                                                                         Jon Duckham, Walk organiser                  achievements.

				
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Description: The Black Mountain Walk