Please Return Your Sponsorship Form To

SPONSOR FORM

Name of Participant: ……………………………………………………………………………………………..

Event:………………………………………………………………………….. Date:……………………………….

Gift Aid: Make you donation worth 28% more. Please note, you must be a taxpayer paying more than the amount we reclaim in order for us to be able to claim Gift Aid from your sponsorship.

Name Address Postcode Telephone Amount (£) Gift Aid Tick if (essential for (please Paid Gift Aid) tick)

Wings for Life, Spinal Cord Research Foundation 155-171 Tooley Street • London SE 2JP • UK • Phone +44 (0)20 3117-2000 • Fax +44 (0)20 3117-2151 • [email protected] Charity No.: 1138804 Name Adress Amount (£) Gift Aid Tick if (please Paid Telephone tick)

Postcode (essential for Gift Aid)

TOTAL RAISED ………………..

Wings for Life, Spinal Cord Research Foundation 155-171 Tooley Street • London SE 2JP • UK • Phone +44 (0)20 3117-2000 • Fax +44 (0)20 3117-2151 • [email protected] Charity No.: 1138804 Please return your Sponsorship Form to:

Nina Alexandersen Division Manager, Wings for Life UK 155-171 Tooley Street London SE 2JP [email protected]

Wings for Life is an international charity working to achieve the effective treatment and management of Spinal Cord Injury. The charity is registered in England & Wales, No. 1138804

Thanks to improving levels of treatment, rehabilitation and care, it is estimated that around 2.8 million people globally are living with Spinal Cord Injury (SCI). Each year, a further 130,000 people survive a traumatic SCI and with an average age of injury of 33 years and nearly normal life expectancy, there is a steady increase in the number of people affected with a ratio of four to one male to female cases reported.

Wings for Life Foundation was founded initially in Austria in 2004 and in the UK in 2010 with the principal aim of funding and promoting research worldwide in order to increase levels of scientific and clinical progress towards the treatments and therapies to support those living with SCI paralysis. Every penny raised by and for the Wings for Life Foundation is directed towards the funding of SCI research and in raising awareness of SCI in that all of the overheads of the Foundation both in the UK and in Austria are met by its Principal Partner, Red Bull.

Wings for Life, Spinal Cord Research Foundation 155-171 Tooley Street • London SE 2JP • UK • Phone +44 (0)20 3117-2000 • Fax +44 (0)20 3117-2151 • [email protected] Charity No.: 1138804