By filling in this form I confirm that I have already secured a place in the London Marathon, directly from the event organisers. Please sign me up to receive fundraising tips and advice and any useful updates about the London Marathon by email, mobile messaging and social media. If you do not already have a place, please return to the event page for details on how to apply for one of our charity places in the event. Read the full terms and conditions. When you join our Virgin Money London Marathon Team you will receive: A Breast Cancer Now technical running vest and iron-on letters The best support on the day with five of the loudest cheer points An invitation for you and your family to a post-race reception with free massage A fundraising pack including sponsorship forms and fundraising ideas Training plans and running advice An invitation to join our Running Team Facebook group to chat to your fellow runners An invitation to a marathon training day Please complete the form below and we'll send you everything you need. Title * - Select -MrMrsMsMissDrProfessor First name * Last name * Email address * Date of birth Day Day12345678910111213141516171819202122232425262728293031 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Year Year19191920192119221923192419251926192719281929193019311932193319341935193619371938193919401941194219431944194519461947194819491950195119521953195419551956195719581959196019611962196319641965196619671968196919701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001 Address 1 * Address 2 Town * Postcode * Phone number * What size running vest would you like? * - Select -Running women's XS - 32"Running women's S - 34"Running women's M - 36"Running women's L - 38"Running women's XL - 40"Running men's XS - 36"Running men's S - 38"Running men's M - 40"Running men's L - 42"Running men's XL - 44" Please tick this box to confirm that you agree to the terms and conditions. * Before completing this form please make sure you read the terms and conditions.* Please tick this box to confirm that you agree to the terms and conditions. How did you hear about taking part in this event for Breast Cancer Now? * - Select -Google / Search engineWord of mouthEmail from Breast Cancer NowMailing from Breast Cancer NowFacebookTwitterI saw a posterBike ShowRideLondon BallotNewspaper / MagazineBreast Cancer Now websiteOther websiteOther Please give details: Keeping in touch with Breast Cancer Now We’d like to tell you ways you can help further, including through donating, fundraising, campaigning and volunteering and send you updates on our research, breast health information, and our wider work to achieve our aims. If you already hear from us, we will continue to contact you in the same way. If you don’t already hear from us, please tick the box if you are happy to be contacted by: Keeping in touch Email Mobile messaging Do you have a personal experience of breast cancer? If you select information about your health from the drop-down menu, we may use this to provide you with tailored breast health information, volunteering opportunities and to manage how we communicate with you. We may also use this information to better understand our supporters. By selecting the information relating to my health status, I agree to Breast Cancer Now using the information for the above purpose. - None -I currently have breast cancerI used to have/once had breast cancerA member of my family currently has breast cancerA member of my family used to have/once had breast cancerMy friend currently has breast cancerMy friend used to have/once had breast cancerI have lost someone to breast cancerI had a breast cancer scareI have professional experience of breast cancerI have no experience of breast cancerPrefer not to say How we use your information From time to time, we may contact you by telephone and post to keep you updated on our work and ways you can help. You can change the way you hear from us at any time by emailing us at supporterengagement@breastcancernow.org or calling us on 0333 20 70 300. To help us to work more efficiently, we may analyse your information to make sure you receive the most relevant communications, and to target our digital advertising. This may include using publicly available information. You can ask us to stop this at any time, by contacting us using the above contact details. You can read more about how we will use your information in our privacy policy.
