1. Personal Details
Mobile (for on the day):
*Emergency Name (for on the day):
*Emergency Number (for on the day):
2. Please select your distance:
(Childs age classed as 16 and under - young children with seats on parents bikes ride free)
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:
4. Payment Details
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).
5. Additional Entries
Call us on 01634 831163
or Click here to email us.
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Registered Charity No: 284894
Friends of the Wisdom Hospice
Kent, ME1 2NU
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