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Challenge Acceptance Form

If you would like to accept my challenge please complete the form below, select whether you intend to raise either £100 or £1000 and click on the Submit button.
That's the easy bit - now you have to complete the challenge!
Name:
Club:
Telephone No:
(no spaces please)
Email Address:

How did you find us?

I will take up Otto's Challenge by raising

by September 2007

Thanks

 
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