Tell us about your fundraising plans

Title

First name

Last name

Are you fundraising with your workplace/organisation?

If so, who is your employer?

Name of your fundraising event

Brief description of your fundraising event

Your fundraising event:

Date of your fundraising event

How much do you hope to raise?

Would you like to receive a selection of Winston's Wish branded materials to use at your event?

Yes pleaseNo thanks

Your contact details

Email address type

Email address

Email address

Email address

Email address

Phone number type

Phone number

Phone number

Phone number

Phone number

Postal address

Town/city

Postcode

Do you want to stay in touch?

We send a monthly e-newsletter along with occasional updates on our news, fundraising, training, events, merchandise and volunteering - please opt in below to receive these updates. If you don't opt in, we will only contact you with information specifically relating to your fundraising event.

Yes, I would like to receive updatesNo, please only contact me with information specifically relating to my fundraising event

How would you like to hear from us?

Email

YesNo

Post

YesNo

Phone

YesNo

SMS text

YesNo

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