Your Name

Your Address

Your telephone number

Your email

Charity Name

Charity Address

Charity Number

Please select the Charity Type:
Registered CharityCommunity GroupSports ClubPublic Service Provider (NHS etc)Other
If Other, please provide further information:

Charity Location

Please tell us the date, venue and name of fundraising event

Date needed by

Do you have a link we can view? Please copy below.

Is there any information you can upload for us to view, such as letter of authority from charity or group?

Please tick below the information if you're happy for us to display on our charity page:
NameEventOrganisationNone