Hospice Walk - Entry form


1. Please select your distance:

5km

10km

2. Entry Details

Adults:

Children:

Family:

(Family of two adults and up to two children)

Entry total:

T-shirts

If you would like to purchase a t-shirt, they are available for a suggested donation of £5 each. Please select which size and how many you require:

Sml: Med: Lrg: XLrg:

Donation:

What is this?

Grand total:

Gift Aid

If you are a taxpayer we can increase the value of your contribution by 28% through Gift Aid (25p in every pound from you and 3p in every pound from the Government from 6/4/08 to 5/4/11).

3. Personal Details

*Title:

*First name:

*Last name:

*Address
 

*Postcode:

*Telephone:

Mobile:

*Email:

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friendsofwisdom: This is Lucy's JustGiving Page http://t.co/gpkkwooD http://t.co/B6EXRnuD

friendsofwisdom: Lucy at 13 is one of our youngest fundraisers please support her in her endeavours to raise funds for the hospice... http://t.co/JxrFnNLr

friendsofwisdom: Hello to new follower @GXNEXUS nice to have you aboard you can also find @friendsofwisdom on Facebook & LinkedIn

friendsofwisdom: Come to "Charity Disco Night" Saturday, May 12 from 7:30 pm to 10:30 pm. Please come along and support this... http://t.co/kWkFLwNh

friendsofwisdom: Come to "Charity Variety Show" Saturday, April 21 from 7:00 pm to 10:00 pm. Please come along and support this... http://t.co/n2eUIwIr

Contact Us

Call us on 01634 831163
or Click here to email us.

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Registered Charity No: 284894

Friends of the Wisdom Hospice High Bank, ROCHESTER, Kent, ME1 2NU

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