CARD NUMBER :______

This is to certify that this cardholder completed ______miles on the Rotary Clubs of Witney and Burford & Windrush Valley’s Charity Walk on 17th May 2015
Signature :______

PLEASE COMPLETE THE FOLLOWING IN

BLOCK LETTERS AND HAND IN AT THE

START POINT BEFORE COMMENCING WALK

NAME :______

ADDRESS :______

______

TOWN :______

POST CODE :______

PHONE : ______

CHARITY / ORGANISATION :

______

ESTIMATED SPONSORSHIP £

I agree that 75% of the total shown on this

card will be donated to the above charity or

organisation and that 25% will be forwarded

to :

The Treasurer,

Burford & Windrush Valley Rotary Club

Bushey Lodge, Bushey Row, Bampton, OX18 2JX

SIGNED :______

Rotary Clubs of Witney and

Burford & Windrush Valley

2014/15 CHARITIES

Macmillan Cancer Support, Contented Dementia, SeeSaw and other Rotary Charities

Official Use only :
IMPORTANT NOTICE
1.  Young People must be accompanied by an adult
2.  Walkers are requested to keep to the marked route and to the footpaths being used
3.  On public roads, please observe the Highway code and use the verges where possible
4.  Dog owners are welcome to bring dogs on a lead
5.  Please take all your litter home with you
6.  There will be 3 checkpoints at which water supplies will be available
7.  The organisers cannot be responsible for damage, loss of property or personal injury
Route
The route and location map will be provided at the start point, Charlbury Railway Station. The route will be signposted from this point. The start and route control will open at 9.00 am and remain open until all walkers have completed the walk. No walkers may start after 12.00am. The complete circuit is approximately 8 miles. There is also the option of a 4 mile walk. If any walker is unable to complete the course, they must obtain a signature and mileage walked from the relief driver who will bring you back to the start point.

Rotary Clubs of Witney

and

Burford & Windrush Valley

Annual Charity Walk

Sunday 17th May 2015

SPONSOR / Amount
per mile / Miles Walked / Amount Due / Paid
Card Holder______
Charity / Organisation______

Card Number______