Sponsorship Form

On Sunday, 8th June 2008, I will be abseiling from the Tyne Bridge in Newcastle, in order to raise much needed funds for The ME Association and The Stroke Association. I am grateful for all donations, and thank you for your support.

Please note:You are not required to complete any credit card payment as part of this transaction - we will contact you directly after the event to arrange payment.

Name*

Address*

Telephone Number*

Email Address*

Amount of Donation*
--Amount-- £1.00 £2.00 £5.00 £10.00 £15.00 £20.00 £25.00 £30.00 £40.00 £50.00 £75.00 £100.00

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