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THE LIONS CLUB OF PAIGNTON

www.paigntonlions.org.uk

REGISTRATION & SPONSORSHIP FORM

ANNUAL WALK INTO THE SEA

BOXING DAY

12 NOON PAIGNTON BEACH BY THE PIER

Registration is open from 11.15 a.m

 

NAME (BLOCK CAPITALS)

 

ADDRESS

 

POST CODE

 

AGE (IF UNDER 16)

 

PHONE NUMBER

 

EMAIL

 

The event has a registration fee of £10 for adults and £5 for children to be paid in advance or on the day 

 

REGISTERED

 

 

There will be awards for the best fancy dress (optional) and the highest sponsorship collector. The fancy dress will be judged at 11.45 a.m

 

I agree that all monies raised by my sponsorship will be shared 50/50 between the Lions Club of Paignton (Charity Number 269745) and a charity of my choice. If no charity is chosen all sponsorship will be donated to the Lions Club of Paignton.

 

If required please state your chosen charity here………………………………………………………………

 

To set up an on-line donations page for sponsors, please go to www.justgiving.com/lionsclub-paignton

 

Event Organisers

 

Malcolm Stone (01803 554864) John Atyeo (01626 330635) Suzanne Davies (01803 606966)

 

Please hand in sponsorship money to the registration desk on the day or forward it to;

Mr A Tozer. 54 Victoria Park Road. Torquay. TQ1 3QJ no later than the 31 January 2017.

Cheques should be made payable to “The Lions Club of Paignton”

 

As long as you are a UK taxpayer the Lions Club of Paignton can claim back 25p for every £1 you give. Please complete the form below and tick the Gift Aid box, to confirm you are paying Income Tax

 

Name

First Line of Address

Post Code

Amount

Gift Aid

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The members of the Lions Club of Paignton appreciate your support for this event