Entry Form — Great Strait Raft Run

Personal Information

First Name

Surname

Address

Post Code

Telephone

Email

Date of Birth

(If under 18)

I/we authorise the Raft Run Committee to hold and use my/our data for the sole use in running this and future events.

Race Information

Team Name

Designated Charity

Entry fee...£50 (£25 entrance + £25 donation)

Once your entry and fee are received your application will be processed and you will be contacted.

BACS payment details:

Sort Code: 30-99-50
A/C: 43111560
Name: Menai Bridge Raft Run Charity
Reference: Raft Name

GiftAid Declaration

I would like The Great Strait Raft Run (CharityNo. 1121383) to claim gift aid on this donation and donations I make in the future. I am a UK tax payer and understand that if I pay less IncomeTax and/or Capital gains tax than the amount of GiftAid claimed on all my donations in that tax year it is my responsibility to pay the difference. I understand the chairity will claim 25p of tax on every £1 that I give on or after 6 April.

Entry (£)

Donation (£)