Three-Peaks Challenge
Please complete this form below and post it to the address shown. We will contact you when the Climbers are home to advise details of your sponsorship total.
| Your name: | |
| Your company name (if applicable) |
|
| Your address: | |
| Postcode/zipcode: | |
| Telephone Number: | |
| Your email address | |
| My sponsorship is: |
£ ______ per climber (1 to 5) per Peak (1 to 3) Climbed Please make cheques payable to: Oskar's Dreams |
| May we add you to our mailing list? |
Yes: | | No: | | (tick one) |
If you wish to donate by credit card please fill in this section and sign at the bottom.
Type of Card: Visa - MasterCard / Switch (delete as applicable)
Number: .............. ................. ................... ...................
Valid from: ........../.......... Expires end .........../..............
Switch Issue number ....... | CVV Code (on back of card) ..........
Signature.................................................................
Please print out this form and send it to:
Rachel Grace
Lower Ballig, Tynwald Mills
St Johns, Isle of Man, IM4 3AF
British Isles
