Foot Forward February - Sponsor Form
Who are you sponsoring?
How much would you like to sponsor?
0.01c/step ($28 in total)
0.02c/step ($56 in total)
0.03c/step ($84 in total)
0.04c/step ($112 in total)
0.05c/step ($140 in total)
0.1c/step ($280 in total)
Pay Online into 06-0301-0241238-000
Please deposit your donation into 06-0301-0241238-000. Please use your name as the reference and who you are sponsoring as the code.
Would you like a receipt?
Yes I would like a receipt from Hospice (to be supplied by end of March 2019)
No, I don't need a receipt
A copy of your responses will be emailed to the address you provided.
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