event: survive the yomp 2015
Transcription
event: survive the yomp 2015
BOOKING FORM EVENT: SURVIVE THE YOMP 2015 DATE: 12TH SEPTEMBER 2015 LOCATION: AREA AROUND ACHNACARRY, SPEAN BRIDGE, SCOTLAND If you have received this booking form electronically for example by email you can fill it in online too. Just go to the relevant boxes and start typing! Any questions please do call us on 0844 693 1944 or email info@commandospirit.com When completed, this form should be returned by email to info@commandospirit.com or sent by mail to the following address: Event Administration Commando Spirit Lifetime Challenge Events Ltd 36 South Gyle Crescent Edinburgh EH12 9EB PERSONAL DETAILS First name: Mobile phone: Last name: Personal email address: Title: Mr Mrs Miss Ms Other: Home address: Date of birth: Sex: Male Age: Female T-shirt size: S M L XL XXL Dietry requirements: Y N Any allergies to medication or food: Y City:County: N (Please give details if yes to either/both of the above): Postcode: Home phone: SOCIAL MEDIA PROFILE Do you have any of the following? If yes, please give the account names below so we can find you. JustGiving account: (please give details below) Linkedin account: (please give details below) Twitter account: (please give details below) Any other: (please give details below) Brought to yo u by WORK DETAILS EMERGENCY CONTACT DETAILS Title: Name: Department: Home address: Company name: Company address: City:County: Postcode: Daytime phone: City:County: Mobile phone: Postcode: Evening phone: Work phone: Email address: Work email address: Relationship to you: KEEP IN TOUCH We at Lifetime Challenge Events would like to keep you up to date with details of future events and activities. If you would like to receive information select your preferred method: Email Post Preferred contact address: Home Work Preferred contact number: Mobile Home Work Preferred email: Home Work BOOKING PAYMENT Please enclose a cheque for £150 (£125 plus VAT) made payable to “Lifetime Challenge Events Ltd” or by BACS: Sort Code: 40 20 44 Account No. 72007665 Where did you hear about the challenge? Friend Press Royal Marines Web Other (Please state below) PASSING ON YOUR DETAILS We would like to pass on your details to the Royal Marines Charitable Trust Fund so that they can keep you up to date with details of their activities. Please tick this box if you would like us to pass on your details to the Royal Marines Charitable Trust Fund. I agree to my contact details being passed to my fellow participants and Royal Marine buddy. MINIMUM FUNDRAISING COMMITMENT I commit to raise the Minimumm Fundraising Commitment of £ and to endeavour to surpass this and raise £ . TERMS & CONDITIONS By ticking this box or signing this booking form you confirm that the above details are correct and that you have read, understood and accept the full Terms and Conditions which are available on our website or can be made available on request. Signature: Name: If your entry fee is being paid for by a company, Date: corporate entity or other organisation, please ask them to complete the company details section. Brought to yo u by CORPORATE BOOKING Please complete the following if you are a company, corporate entity or other organisation entering participants in the event. Company representative: Business address: Company name: Company number: Registered office: City:County: City:County: Postcode: Postcode: Work phone: Work phone: Mobile phone: Number of participants: Email address: SOCIAL MEDIA PROFILE Do you have any of the following? If yes, please give the account names below so we can find you. JustGiving account: (please give details below) Linkedin account: (please give details below) Twitter account: (please give details below) Any other: (please give details below) CORPORATE BOOKING PAYMENT Please enclose a cheque for £150 (£125 plus VAT) for each participant being entered, made payable to “Lifetime Challenge Events Ltd” or by BACS: Sort Code: 40 20 44 Account No. 72007665. MINIMUM FUNDRAISING COMMITMENT We commit to raise the Minimum Fundraising Commitment of £ per participant we enter and to endeavour to surpass this and raise £ . CORPORATE TERMS & CONDITIONS By ticking this box or signing this booking form you confirm that you have the authority to sign on behalf of the company and that the above details are correct and that you have read, understood and accept the full Terms and Conditions which are available on our website or can be made available on request. Signature: Name:Position: Company:Date: Brought to yo u by