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Emergency Contact Details

Please provide emergency contact details of someone over 18 who is NOT taking part in the walk with you

Donations



* I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax in the current tax year than the amount of Gift Aid claimed on all my donations it is my responsibility to pay any difference.

Medical Conditions

I have read and understand the Terms & Conditions *

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Your support helps us care for people living with a life-limiting illness in North Hampshire and we look forward to keeping in touch with you by post and phone, sharing our news, activities and appeals. Would you like to receive our emails too?