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 TCS 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 -MrMrsMsMissMxDrProfessor First name * Last name * Email address * Date of birth Year19221923192419251926192719281929193019311932193319341935193619371938193919401941194219431944194519461947194819491950195119521953195419551956195719581959196019611962196319641965196619671968196919701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004 Year MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Day12345678910111213141516171819202122232425262728293031 Day 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. I agree Before completing this form please make sure you read the terms and conditions. How did you hear about taking part in this event for Breast Cancer Now? - None -Event Organiser's WebsiteEmail from Breast Cancer NowBreast Cancer Now websiteI saw you on FacebookI saw you on TwitterI heard about you from a friendI read about you in a magazineOther 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, the support we provide, 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: Email Mobile messaging Keeping in touch Do you have a connection to breast cancer? - None -I have/have had primary breast cancerI have secondary breast cancer (spread to another part of my body/metastatic)I’m worried I’m at risk of breast cancerA family member has/has had breast cancerA close friend has/has had breast cancerSomeone I know has/had breast cancerI have lost someone to breast cancerI’m a healthcare professionalI have a professional/academic interest in breast cancerI have no experience of breast cancerI’d prefer not to sayIf 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.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 hello@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. Submit