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* You must complete the fields marked with an asterisk
Title
First name
Surname
Club name
Business or organisation
Address 1
Address 2
Address 3
County
Postcode
Email address
*
Landline telephone
*
Mobile telephone
Preferred contact method
Landline telephone
Mobile telephone
Email
Post
*
Fundraising event title
*
Event date (dd/mm/yyyy)
*
Donation target
Event description
Would you like to receive our newsletter?
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Yes
*
Please send me a fundraising pack containing:
Balloons
T-Shirts
Small
1
2
3
4
5
Medium
1
2
3
4
5
Large
1
2
3
4
5
X Large
1
2
3
4
5
Fundraising Goblets
1
2
3
4
5
KidsOut literature
Sponsorship forms
*
I understand that I have a legal responsibility to ensure all sponsorship money/donations received by me are paid to KidsOut UK.
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