Mid Life Cyclists 250 mile 'Tour de Pays de Galles'

Sponsor Form

Yes, I'll sponsor the Mid life Cyclists 250 mile Tour de Pays de Galles!

I enclose a cheque for £

I am a UK tax payer - please reclaim my tax.  I want Shirenewton Church

to treat this donation as a Gift Aid donation under the Gift Aid scheme. 

(please delete if not applicable)

Signed:

Name:

Address:

Please post this form along with your cheque to:

Mid Life Cyclists

The Chantry

Shirenewton

Chepstow

NP16 6RL

UK