Address 1 Address 2 Town County Postcode Phone Please tick the box to confirm you are over 16 years of age
If you are under 16 years of age please ask your parent or guardian to contact our supporter care team on 020 3535 7090 to assist with your registration.
Collection tin 0 1 2 Cardboard collection box 0 1 2 3 4 5 Sponsorship form 0 1 2 3 4 Balloons 0 5 10 15 20 Information poster - A3 0 1 2 3 4 5 Blank poster template - A4 0 1 2 3 4 5 PVC banner - 1 metre 0 1 2 3 4 5 Purple stickers - Sheet of 35 0 1 2 3 4 5 What are your fundraising plans? Let us know! Social Event Walk or Trek Run Cycle Skydive Sponsored Activity Personal Sporting Challenge Date of Event *
Date Format: MM slash DD slash YYYY
If you are not sure pick the 1st of the month you expect your event to take place.
How are you fundraising? As an individual Workplace Group School/University Organisation Is there anything else you would like to tell us? Is there anything else you would like to tell us?
If you select an option form the menu below, we may use this to manage how we communicate with you. By selecting the information relating to my health status, I agree to Pancreatic Cancer UK using the information for the above purpose.
I used to have pancreatic cancer I have a diagnosis of pancreatic cancer I know someone who has a diagnosis of pancreatic cancer I have lost someone to pancreatic cancer I have no connection to pancreatic cancer I have a professional experience of pancreatic cancer I would prefer not to say We’d love to keep in touch so we can tell you about the huge difference you’re making to our research and services. We’d also like to tell you ways you can help further, including campaigning, volunteering, fundraising and donating. If you would like to be contacted by email or text message about these topics, just tick “YES” in the boxes below Please note, the contact preferences you give to us today will override any preferences you’ve previously made us aware of. For more details about how we use the data you give to us, please read our