IF WALKING FOR A NOMINATED CHARITY PLEASE STATE NAME OF CHARITY BELOW

Name of Charity…DISH...... Name of Organiser…..Olly Cooper

Address of Organiser….DISH, Pendrill Court, Papworth Everard, CB3 8UY

Walker’s No. …………………………………………. Office Use ……………….........

TOTAL FRONT……... TOTAL BACK……… TOTAL CONT. SHEETS………… TOTAL TO COLLECT………………

SPONSOR FORM

I, Mr/Mrs/Miss First Name . . . . . . . . Surname . . . . . . . . . . . . . . Under 18? . . . . . (Please Tick)

Full Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Postcode. . . . . . . . . . . . Tel No. . . . . . . . . . . . . . . . . . . . . .

am undertaking a Sponsored Walk around Grafham Water on 18th May 2008. I will send 10% of all sponsor money collected to the Huntingdon Grafham Water Lions Club. No expenses will be taken from this money. I understand that neither the Organisers nor the Sponsors will be held in any way responsible for any accident or claim arising through negligence of competitors, officials or from any other cause whatsoever. Vehicles will be available to return you to reception if required.

START:- 10am - Plummer Car Park Report to Lions Reception, Hand in Sponsor sheet and collect walkers number.

FINISH:- Plummer Car Park Report back to Lions Reception, hand in walkers number card and collect sponsor form.

MAP BELOW

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PLEASE COLLECT SPONSOR MONEY WITHIN 28 DAYS AND SEND WITH YOUR FORM

TO : Disability Information Service Huntingdonshire charity no. 1061702

DISH, Pendrill Court, Papworth Everard, CB3 8UY

SPONSORS NAME, ADDRESS & POSTCODE

DATE GIVEN

Gift Aid

Rate per mile (max 10 miles)

TOTAL AMOUNT SPONSORED

SPONSORSHIP AND GIFT AID DECLARATION

We, who have given our names and addresses above and who have ticked the bow entitled ‘GIFT AID’, want the above charity to reclaim tax on the donation detailed above, given on the date shown, We understand that each of us must pay income tax or capital gains tax equal to the tax reclaimed by the charity.

SPONSORS NAME, ADDRESS & POSTCODE

DATE GIVEN

Gift Aid

Rate per mile (max 10 miles)

TOTAL AMOUNT SPONSORED

SPONSORSHIP AND GIFT AID DECLARATION

We, who have given our names and addresses above and who have ticked the bow entitled ‘GIFT AID’, want the above charity to reclaim tax on the donation detailed above, given on the date shown, We understand that each of us must pay income tax or capital gains tax equal to the tax reclaimed by the charity.