Antonette Nell

Corporate Challenge Team

Team: IQVIA

Laps Entered: 4

Money Raised: R 3400

Sponsor Antonette Nell

Please fill in all fields carefully. The reason that we need your mobile number is in case you move jobs before the event takes place and your email address changes. We will not sell or pass on ANY of your personal information. The participant and yourself will receive an email to confirm your sponsorship after submission.

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Your Full Name:*

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Tax Certificate:*

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Address:*

Please fill in the address that must appear on your tax certificate.

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Donor Type:

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Donor Identification:

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Donor Identification:

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Trading Name of Entity if different from above:

Sponsorship Details – Challenge your chosen participant

You can sponsor a participant for more summits that they are attempting. This means that you will be setting them a challenge to do more than they intended. If they do the extra summit, they will raise more money for the charity, plus you get to make them suffer! OK, so you got it? 1 Summit at R 100 = R100 , 3 summits at R500 = R1500.00. etc.

Payment type*

When would you like to pay? If you choose to Pay Now you will be taken to the Payfast portal for immediate payment via credit, card, EFT, Snapscan or Zapper.

Pay Now

Pay Later

Sponsor type*

Select if you'd like to sponsor this participant per lap or lump sum.

Per Lap

Lump Sum

How many laps do you challenge your chosen participant to?*

How much money (in ZAR) would you like to sponsor per completed lap?*

Please enter a number greater than or equal to 100.

Total Amount to Sponsor*

Please add the total amount you'd like to sponsor.

Please enter a number greater than or equal to 100.

Total Amount Sponsored (per lap):

Price: R0.00

Total Amount Sponsored (lump sum):

Price: R0.00

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EVENT WEEK: 6 – 14 MAY 2023