On-line Sponsorship
we expect to cover 800 miles in total

Please complete all boxes marked * ... Your details are private and will NOT be used for any other purpose

First Name & Initials *
Last Name *
Address *
*
*
Post Code *
Tel No *
E-mail *

* I wish to sponsor (click either button as applicable):

Fixed Sum ... Amount
Per Mile ...... p per mile = Total
Please click here ----------> OR...