The Norfolk Hospice Tapping House
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Bespak Grand East Anglia Run - May 2012

Please fill in the form below to register your interest in running for The Norfolk Hospice, Tapping House in GEAR 2012.

Alternatively, you can call the Fundraising Office on 01485 542891.
Bespak Grand East Anglia Run
Name*:
Address (incl. Postcode)*:
Telephone Number*:
Mobile Number:
Email Address*:
Running Vest Size*:SmallMedium LargeXL
Have you applied for your GEAR 2012 place with the race organisers yet?*:YesNo
Where did you hear about GEAR & The Norfolk Hospice?:Newspaper
Radio
Parish Newsletter
Poster
Website
Word of Mouth
We would like to send you further information about The Norfolk Hospice from time to time. We will not pass on your details to any other organisation
Please let us know if you do not wish to receive further communications by ticking this box:
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Don't forget to register with the race organisers at www.grandeastangliarun.co.uk (make sure you enter "The Norfolk Hospice" in the team name)
Serving Norfolk & The Fens
 

The Norfolk Hospice, Tapping House, Common Road (West), Snettisham, King's Lynn, Norfolk, PE31 7PF
Hospice Telephone Number: 01485 543163 - Fundraising Telephone Number: 01485 542891
enquiries@norfolkhospice.org.uk

Registered Charity Number: 1062800 - Registered Company in England and Wales Number 3185605

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