Fields marked with an * are required

It’s A Knockout entry form

Registration fee of £50 will secure your place.

By cheque – make payable to Cornwall Hospice Care and return to us with this form to Cornwall Hospice Care, Fundraising, Daniels Lane, St Austell PL25 3HS

By card – please call us on 01726 66868 (option 3)

By BACS – Sort code 20-74-46  A/C 60441139 Ref: Knockout

The minimum sponsorship of £300 is to be received by 17th September 2018.