Sponsorship
Form
Name
and Address of person
being sponsored:
Date
|
Sponsorship
Form Name
and Address of person |
|
|
|
Event
Date |
|
Name and Address of Sponsor |
Amount |
Total |
|
| 1 | |||
| 2 | |||
| 3 | |||
| 4 | |||
| 5 | |||
| 6 | |||
| 7 | |||
| 8 | |||
| 9 | |||
| 10 | |||
| 11 | |||
| 12 | |||
| 13 | |||
| 14 | |||
| 15 | |||
| 16 | |||
| 17 | |||
| 18 | |||
| 19 | |||
| 20 | |||
|
Total |
|||
| Please make any cheques payable to: Macmillan Cancer Relief |
|
Macmillan Cancer Relief - Southport, Formby & Ormskirk Area Southport General Infirmary, Scarisbrick New Road Southport PR8 6PH Telephone / Fax 01704 703611 www.macmillansouthport.com Area Organiser Val Martyn-Beck Reg Charity 261017 |