Ready to be a life-changer? Your personal details Please sign me up for wear it pink and send me everything I need including details about the event, fundraising tips and advice, and any useful updates about wear it pink by email, mobile messaging and social media. Title * Select an option Mr Mrs Ms Miss Mx Dr Professor First name * Last name * Email address * Phone number Date of birth Day Month Year About your event Where are you holding your event? * Where are you holding your event? Work School Community Workplace * Your organisation name School * Your school name Where do you want you fundraising pack to go? * Add your postcode below to find your address. Enter address manually Address 1 * Address 2 Address 3 Town / city * County Postcode * Country * How many people do you expect to take part? Select an option 0-20 20-50 50-100 100-150 150-200 200-250 250+ How did you hear about wear it pink? Select an option Facebook Breast Cancer Now Email Breast Cancer Now Postal Mailing Breast Cancer Now website Instagram TV advert Radio Breast Cancer Now Phone Call Newspaper/Magazine X formerly Twitter Google LinkedIn Other website TikTok MyWeekly Other I've taken part before YouTube Word of mouth Please do not put balloons in my fundraising pack Connection to cause 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. Do you have a connection to breast cancer? Select an option I have/ have had primary breast cancer I have secondary/ metastatic breast cancer (spread to another part of the body) I have the BRCA gene I'm worried I'm at risk of breast cancer A family member has/has had breast cancer Someone I know has/had breast cancer I have lost someone to breast cancer I have a professional/academic interest in breast cancer I'm a healthcare professional I have no experience of breast cancer I'd prefer not to say Keeping in touch with Breast Cancer Now We’d like to tell you about 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 SMS How we use your information From time to time, we may contact you by telephone and post about wear it pink, 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. By signing up to this event you agree to our terms and conditions. Having form problems? We’re here to help. You can email us if you have any questions or you can call on 0333 20 70 300 and we can register you over the phone. Submit
