Entry Form

Walk for a Reason September 19^th 2010

Dinton Pastures Country Park WOKINGHAM RG10 0TH.

Entry form

Walk for a Reason and help raise awareness of prostate cancer and money for The Prostate Cancer Charity.

Entry Fee £6. All walkers will receive a medal.

All entrants are expected to get sponsorship. All sponsorship money to be paid directly to the Prostate Cancer Charity

To enter please complete the details below and return this form to:

Walk for a Reason, 31 The High Pines, Maidens Green,Bracknell,Berkshire RG42 6LQ

Cheques should be made payable to Walk for a Reason. For further information Phone 07500016911

I want to take part in Wokingham Walk for a Reason 2010.

Name:_______________________________________________________________

Address:_____________________________________________________________

__________________________________________________Postcode:__________

Contact phone number:_________________________________________________

E-mail address:_______________________________________________________

Registered charity no. 10015541

Walk For a Reason