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Event details

Event date

Venue

Event details

Other people involved

Would you like a free T-shirt, running vest or neither?

T-shirt
Running vest
Neither

To help your fundraising you can set up a secure on online fundraising page with Justgiving. If you have already created your Justgiving web page please provide us with its name below.

Do you have a particular reason for supporting The Christie at this event?

I undertake to forward all the proceedings of this fundraising event to The Christie charity within 1 month of the event *

Personal details

First name *

Surname *

Gender

Female
Male
Other

Address line 1

Address line 2

Town

Postcode

Telephone

Email address *

Confirm email address *

Date of birth *

Data protection

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