Test form - Pancreatic Cancer UK

Title

First Name

Last Name

Email*

Address 1

Address 2

Town

County

Postcode

Phone

Please tick the box to confirm you are over 16 years of age

I am 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

Cardboard collection box

Sponsorship form

Balloons

Information poster - A3

Blank poster template - A4

PVC banner - 1 metre

Purple stickers - Sheet of 35

What are your fundraising plans? Let us know!

Date of Event*

If you are not sure pick the 1st of the month you expect your event to take place.

How are you fundraising?

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.

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

YES, Please DO contact me by SMS
YES, Please DO contact me by email

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 Privacy Policy. From time to time, we may also contact you by post and telephone. You can change this at any time by emailing us at supportercare@pancreaticcancer.org.uk, or calling 020 3535 7090.