Thank you for your interest in taking part in the first-event NASS EN MASSE Sponsored Walk. All participants must complete the registration form to take part. MY DETAILS Mr/Miss/Ms/Mrs Mr Mrs Ms Mrs First Name: Surname: Street Name and Number: Town: Post Code: Email: Telephone No: Please tick as many boxes that apply: I wish to take part in the 5km sponsored walk on Sunday 9 May 2009 and enclose and enclose I wish to take part in the 10km sponsored walk on Sunday 9 May 2009 I will be registering with justgiving.com and do not require a sponsorship form Please email/send me a sponsorship form (emailing will save us money) Email Form: Send Form: STARTING TIME: Please indicate your preferred start time 9.00am 10.00am 11.00am T SHIRT SIZE: My preferred T shirt size is Medium Large Extra Large REGISTRATION FEE I will pay the £7.50 registration fee online by Paypal I will post the £7.50 registration fee by cheque payable to NASS TERMS AND CONDITIONS By ticking the boxes below I agree to the following terms and conditions: I understand that I should seek medical advice from my general practitioner if I am in any doubt as to my physical ability to take part in this event I understand that I am entering this event entirely at my own risk and NASS will not be liable for any injury or loss that might occur as a result of my participation I am happy for NASS to contact me about other fundraising events and activities in the future. Thank you for completing this registration form. Once your form has been received we will send you further fundraising information including information about Just Giving which is a simple and easy way to fundraise online. You simply set up your own page, let your friends and family know and they can instantly sponsor you online! NASS is the only registered charity that provides information and support to people with ankylosing spondylitis (AS) and campaigns for better care and treatment. Every penny you raise by taking part in this event will make a significant difference. Thank you!
MY DETAILS
REGISTRATION FEE
TERMS AND CONDITIONS By ticking the boxes below I agree to the following terms and conditions:
TERMS AND CONDITIONS
By ticking the boxes below I agree to the following terms and conditions:
Thank you for completing this registration form. Once your form has been received we will send you further fundraising information including information about Just Giving which is a simple and easy way to fundraise online. You simply set up your own page, let your friends and family know and they can instantly sponsor you online!
NASS is the only registered charity that provides information and support to people with ankylosing spondylitis (AS) and campaigns for better care and treatment. Every penny you raise by taking part in this event will make a significant difference. Thank you!
