Sponsor's form

If you would like to sponsor me and the dogs, please complete the form below and then click on the "Submit your pledge" button.  You should get a response which is a rather cryptic version of what you entered, which will mean that the submission worked.

Thank you for your generosity - it really is in a good cause!

Your first name         Your surname 

Address first line         Address second line      Town/city 

County      Post code       Country 

Phone number 

Amount pledged in sponsorship of Peter Rigg, for the benefit of the Great North Air Ambulance Service.......£