Menai Bridge Raft Run, North Wales

The Great Strait Raft Run

31^st May 2009

Application Form

Please enter our team in this years event:-

We enclose our entry fee of £40

Team Name  _____________________________________

Contact Name  ___________________________________

Address  ________________________________________

               ________________________________________

Post Code  ___________________

Contact Tel No  _______________

e Mail  ______________________

Designated Charity_________________________________

Raft Number [will be issued by organizers]  _____________

Signed  _____________________

Please return this form and entry money to :-

Menai Bridge Raft Run Charity Fund

3 Cae Ffynon

Hen Llandegfan

Menai Bridge

LL59 5PR