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Please complete the details below. We will do our best to give you something for this year.
Fields marked *
are
mandatory.
Please
note we can only help organisations within England.
Your Details:
Mr/Mrs/Miss/Ms:
*
First name:
*
Last name:
*
Position:
*
E-mail address:
*
School or Charity name:
*
Address line 1: *
Address line 2:
Town: *
County: *
Post code:
*
Telephone number 1: *
Telephone number 2:
Please give details of your fund raising events?
What do you call your event?
eg: Summer Fayre
Name of event number 1:
*
Date: --/--/-- *
Name of event number 2:
Date: --/--/--
Name of event number 3:
Date: --/--/--
Comments:
All information submitted will be treated in the strictest confidence.
No information will be passed onto a third party.
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