Main Contact

 

First Name

 

Last Name

 

Company Name

 

Full Postal Address

 

Contact MOBILE Telephone Number

 

Email Address

 

Chosen Location Choose Option London Birmingham Edinburgh

 

Number of Teams (minimum donation of £300 per team) Choose Option 1 2 3 4 5

 

Donation Amount

 

Terms & conditions
Payment
A request for payment will be sent to your postal address. This can be paid by cheque or BACS and must be paid within two weeks of receipt or by 10th October 2011, whichever is earliest.

Cancellations
If you cancel and wish your donation to be refunded, we are able to refund 100% of your donation before the 30th September 2011. Cancellations after this date can be refunded but we will have to charge an administration fee of £50 per team to cover our costs.

Contact
Please contact Sarah Johnson if you have any queries.

sarah@landaid.org

020 3102 7190