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 [email protected]
When completed, this form should be
returned by email to [email protected]
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)
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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.
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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:
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