HOST ENTRY FORM

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HEART FAILURE & CANCER REHABILITATION RESEARCH
Exercise4Life has grown and is now running continuously from 01 SEPTEMBER 2011! You have the chance to repeat your favourite event(s) or take part in all 8! A different challenge will be promoted each month, click on event calendar to plan your participation…Good luck!
  
 

Name of Centre
Address 1
Address 2
Town
County
Postcode
Tel Number
Fax Number
Contact's Name
Contact's Position
Contact's Email Address

Which events are you able to facilitate?

Swimming   Running   Cycling   Drums Alive
Walking   Nordic Walking   Dancing   Hula Hooping

Are there any events you would like to perform on a different month to our schedule?   (Please specify event/month of change)


Please have one of the Exercise4Life team contact me
Preferred day   Preferred time:   AM   PM


I will be able to download flyers / posters for display  

Would you like to offer participants one or more free entries during Exercise4Life, if so tick here

  
I would like to place a free advertisement on the Exercise4Life website  
And include our web address
And general email for customer use

If you are having difficulties with this form please call +44 (0) 1382 451146

e.info@exercise4life.org w.www.exercise4life.org t. +44 (0) 1382 451146 f. +44 (0) 1382 451163 a. EXERCISE4LIFE PO BOX 159 Dundee DD1 9HF
  

 
 
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