Royal Parks Half Marathon Sunday 10 October 2010

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					                             Royal Parks Half
                                 Marathon
                          Sunday 10th October 2010

                            Please complete all details in full

 Title                          Forename                         Surname

 Address



 Postcode
 Tel Home                                          Tel Work

 Mobile                                            Email

 Date of Birth                                     Estimated Running Time

 Running vest    Male                S                  M                L                XL
                 Female

Conditions of Entry
1. Any Gift Aid claimed on your sponsors’ donations is not included in your sponsorship total.
2. Sponsorship money must be paid to Beating Bowel Cancer by Monday 22nd November 2010.

Please read the following and sign as indicated
     • I pledge to raise a minimum of £350 for Beating Bowel Cancer. I have read, understood
        and agreed to the above conditions.
     • I enclose a registration fee of £40.
     • I agree to take part in the Royal Parks Half Marathon at my own risk. Beating Bowel
        Cancer will not be responsible for any loss, damage, illness, injury or death caused or
        arising out of my involvement with this event.
     • I am not aware of any medical condition or other reason why I should not participate.
     • I will be over 17 years of age on the day of the event.

 Signed                                                         Date



Payment of Registration Fee (£40):
Please tick the appropriate box:
                      I enclose a cheque for £40 made payable to Beating Bowel Cancer
                      I would like to pay by credit/debit card and my details are below

 Card Holder                                         Type of Card
                                                     (Visa/Mastercard/Switch)
 Card Number
 Start Date                      Expiry Date                           Issue Number

 Amount to be charged                              3 Digit Security Number

 Signed                                              Date


                                     Please return your completed form to:
                      Fundraising Events, Beating Bowel Cancer, Harlequin House,
                                 7 High Street. Teddington, TW11 8EE
             Tel: 08450 719 300 Fax: 020 8943 0629 Email: events@beatingbowelcancer.org
                                 Website: www.beatingbowelcancer.org
Please complete all details in full

If you are a member of a running club
please state which one?

What other events have you taken part in
for Beating Bowel Cancer?

What is your predicted Half Marathon Time
(Approx)?



Why do you want to take part in the Royal Parks Half Marathon for Beating Bowel
Cancer?




How did you find out about running for Beating Bowel Cancer?
  Realbuzz.com
  Royal Parks Website
  Mailing from Beating Bowel Cancer
  Your company intranet
  Local Newspaper
  (Please specify……………………………………………………………………………………….)
  Recommendation from a friend
  Previous Beating Bowel Cancer Runner
  Other
  (Please specify………………………………………………………………………………………..)



Fundraising Questions

How much do you think you can raise?
(Please give details of how you intend to raise
this amount and examples of any other
sponsored events you have participated in)


Will your company match your sponsorship?
If so, please state the amount and your
company’s name



                                  Please return your completed form to:
      Fundraising Events, Beating Bowel Cancer, Harlequin House, 7 High Street. Teddington,
                                           TW11 8EE
         Tel: 08450 719 300 Fax: 020 8943 0629 Email: events@beatingbowelcancer.org
                             Website: www.beatingbowelcancer.org

                       Beating Bowel Cancer Registered Charity No 1063614

				
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Description: Royal Parks Half Marathon Sunday 10 October 2010