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Apply for a charity place in the Virgin Money London Marathon 2016

6368 Deb at the Virgin Money London Marathon

If you would like to apply for a charity place with Breast Cancer Care for the Virgin Money London Marathon 2016 please complete the form below and we'll be in touch in October if you've been successful. We have just 30 places in this event so please do include as much information as possible in your application.

If you are offered a place to run for Breast Cancer Care we ask that you pledge to raise £1,750 and pay a £50 registration fee (including VAT). Your £50 registration fee will count towards your £1,750 target.

About you

Note: You must be 18 years of age or over on 24/04/16 to compete

Your employers
Our communications
Your motivations

This box can be expanded. You may wish to write your response for this section out first and cut and paste it into this box.

Fundraising
Your story
Your previous events
Your shirt
Registration fee

We will call you to take your registration fee over the phone. We will only ask for payment if your application is successful.

Our contact with you

The information you provide will be kept on our database and we will be in contact (via email and mail) over the coming months about the Virgin London Marathon. However, from time to time we would like to contact you to keep you informed about our work and other exciting events coming up. In order to do this we would kindly ask you to inform us your preference by ticking the relevant boxes. Breast Cancer Care will not pass on your details to any other organisation.

Sending you information by email reduces our costs.