Sponsorship Form

On 4th May, I am doing a 5 mile run to raise money for Rescue Remedies, who work to rehome dogs www.rescueremedies.co.uk

Please note:You are not required to complete any credit card payment as part of this transaction - you will be contacted by the page owner 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

Leave a message: (optional)

          

Create a page of your own - Register here.   |   Already registered? Sign in   |