The Great North Bike Ride © Sunday 24th August 2008
Contact name: ….........................…………………………………..................................
Address: …………....……..…………………………………………...............................................................................................................................
................…....………………………………………………Postcode: … … … ... … … …
Daytime telephone: ……………………………………..Email address: ………….................………………………………..
Please reserve my entry in the 2008 Great North Bike Ride at £10. ( Please enclose a A5 stamped addressed envelope).
I enclose a cheque for the sum of £ …………made payable to: Chris Lucas Trust
I do / do not wish to be kept on the Great North Bike Ride charity database.
I do / do not wish to be updated periodically with event information.
1. I undertake to be bound by the Great North Bike Ride event rules, which are available on request or at www.chrislucastrust.com
2. I understand that Chris Lucas Trust cannot be held responsible in any way for loss or injury to myself or any other party, howsoever arising.
3. I understand that I have a legal responsibility to ensure all sponsorship money, received by me
are paid to Chris Lucas Trust before 31st October 2008.
Using Gift Aid you can make your donation /entry fee worth more. For ever pound you give us,
we get an extra 28 pence from the Inland Revenue, helping your donation go further.
This means that £10 can be turned into £12.80. So just tick here ?
I want all donations I’ve made since 6 April 2000 and all donations in the future to be Gift Aid until I notify you otherwise.
To qualify for Gift Aid, what you pay in income tax or capital gains tax must at least equal the amount
Signed:
Print Name:
Date:
Where did you see the advertisement?……………………………….....................................................................……………
Thank you for your co-operation, we look forward to seeing you at the event!
Please Return to: Chris Lucas Trust, 95, Lancaster Drive, Hadrian Park, Wallsend, North Tyneside, NE28 9TF