macmillan rowathon entry form

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Macmillan Indoor Rowathon‘Pulling Together’ for Macmillan Cancer Support (Jersey)Sponsored by RBS International

Venue: RJA Showground, Trinity

Date: Saturday 7th May 2011

Race Distance: Equivalent of Sark to Jersey - 30,000m

Sponsorship: Registering to take part commits your team to raising a minimum of £300 in sponsorship, which also covers the required entry fee.

Entry Fee: £300 (This is a minimum commitment to be raised as sponsorship).

Entries Close: Friday 29 April 2011 at 5pm.

Race Times: Start times will be emailed to the team captain one week prior to the event. …………………………………………………………………………………………

Entry Form – ‘Pulling Together’ for Macmillan Cancer Support (Jersey)

Team Name:

Non Rowing Captain’s Name: ______________________________________________

Address: ______________________________________________________________

_________________________________________Postcode: ____________

Mobile No: __________________ E-Mail Address: _____________________________

Team member 1 - Name: __________________________ Male/Female

Team member 2 - Name: __________________________ Male/Female

Team member 3 - Name: __________________________ Male/Female

Team member 4 - Name: __________________________ Male/Female

Team member 5 - Name: __________________________ Male/Female

Team member 6 - Name: __________________________ Male/Female

Category entering (select one): All Male / All Female / Mixed (3 Male 3 Female)

Send your completed entry form to arrive no later than 5pm, Friday 29 April 2011 to: Andy Smith, 10 Le Clos De Malershe, Le Mont Millais, St. Helier, Jersey JE2 4RF. Minimum sponsorship to be received at the latest on the day of the event, all cheques made payable to ‘Macmillan Cancer Support (Jersey) Limited’,

For more information please call: Andy Smith on 07829 888595 or email: andysmith@macmillanjersey.comalternatively call: Trish Broughton on 07797 735330 or email: tbroughton@macmillanjersey.com

Registered company no. 104090