Living In A Box  |  4 - 7 July 2006  |  Wakefield Arts Centre   | Starts at 8:30pm on 4th July  |   Ends at 8:30pm on 7th July

Please complete the sponsor form below if you would like to sponsor Hayley and Laura. On successful completion of the event we will contact you to securely complete the transaction. This will be either by cheque, postal order or cash.

Please only complete this form if you seriously wish to sponsor us.

Nickname: * (Name shown on website)
   
First Name: *
Surname: *
   
Address: *
Town: *
County: *
Postcode: *
   
Email Address: *
Telephone: * (If you only have a mobile number, enter it here)
Mobile:
   
Sponsor Amount: *
 

*We promise not to pass your information on to anyone else.