Sponsorship Form

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Relay teams of swimmers will be doing a Virtual Cook Strait Swim on 11 April 2015 at the ... CONTACT PHONE AMOUNT PER LA
Virtual Swim

Sponsorship Form Relay teams of swimmers will be doing a Virtual Cook Strait Swim on 11 April 2015 at the Grey District Aquatic Centre. Each team member will be seeking individual sponsorship for the amount of laps they can swim contributing to the total of 1,185 laps needed to complete the 29km distance. All monies raised goes direct to the chosen charities.

Lane Sponsor: CRAWFORD REFRIGERATION Charity:

BLUE PENQUIN TRUST

Team captain to complete their details then copy this Sponsorship Form and distribute to team members to collect sponsors.

Team captain

Contact phone

Email

Mobile

Team member

Number of laps completed

SPONSOR NAME

CONTACT PHONE

AMOUNT PER LAP

TOTAL OWING

DATE PAID