P.R. FORM FOR THE:

2017 PUNCHESTOWN CHARITY RACE

 

Please return this immediately to:     James Nolan,  Nolan Butchers of Kilcullen,  Main Street, Kilcullen, Co. Kildare.

 

NAME:           ___________________________________________________________

 

ADDRESS:     ___________________________________________________________

 

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PHONE NO:   ____________________________________________________________

 

EMAIL:          ____________________________________________________________

 

 

 

SOME INFORMATION ABOUT YOURSELF AND YOUR PREVIOUS EQUESTRIAN / RACING EXPERIENCE

 

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ANY OTHER SPORTING MILESTONES OR LIFE ACHIEVEMENTS:

 

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We are a Registered Company (Tax Reference 64270888) and a Registered Charity (CHY 16613) since 2005.
Copyright © Punchestown Kidney Research Fund 2012

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