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Sponsor surname and initials
Address (1st Line) & Postcode
Tick if not a UK taxpayer
Tick if a UK Taxpayer
Amount given(√=Paid)

Gift-Aid it!

If you are a UK taxpayer, every £1 you donate will be made up to £1.25 by H. M. Revenue and Customs, so please tick the appropriate box below so that the charities can benefit.

Please make cheques payable to: “The Rotary Club of Farnham Weyside”. Thank You!

Farnham Pilgrim Marathon & Half-M. Sponsorship Form

Name of Runner.........................................................

Please ask each sponsor to complete a row of information in the table below. If you raise more than £100 for our chosen charities you may claim a refund on your entry fee. The top three sponsorship collectors will receive big prizes (see Latest News for details). Thank You! !

(Please print / copy this form as many times as necessary)