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Secure
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enter your details below and click 'Proceed'.
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Your
donation can be used towards any of our projects such as the building
of homes, churches, hospitals and seminaries, and also as emergency aid
in case of natural disasters... |
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I will participate in this event on Sunday 17th October 2010. My starting point will be at: |
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B'Kara Square (In front of St. Elena church 8.45am) |
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St. Venera High Street (Next to St. Joseph Home 9.00am) |
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Details |
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| Name:* |
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| Surname:* |
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| ID:* |
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| Organization: |
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| Address: |
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| Town: |
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| Postcode: |
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| Tel: |
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| Mobile: |
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| Email:* |
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Children
Age: |
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(Under 16 years €5) |
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Students
Age: |
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(Student card holder €5) |
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Adults
Age: |
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(Over 16 years €10) |
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Payment |
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| Name on Card:* |
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| Address:* |
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| Email:* |
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| Card Number:* |
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| Card Type:* |
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| Expiry Date:* |
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| CVC2 (3 digits at back):* |
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Amount:* |
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| Comments:* |
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