Request a sponsorship pack Event details Event If you have selected 'Other event' from the drop-down menu, please provide details of your event below. Otherwise, please skip to the 'Personal details' section of this form Greater Manchester Marathon Great Manchester Run Great Manchester Swim Great North Swim Junior and Mini Great Manchester Run Manchester to Blackpool Bike Ride Manchester 100 Bike Ride Manchester United Santa Run Salford Triathalon Wilmslow Half Marathon The Great North Run Gung-Ho - Manchester Daredevil Parachute Jump Day National Three Peaks Challenge Yorkshire Three Peaks Challenge Ride London 100 Overseas Challenges Manchester Half Marathon London Marathon Tough Mudder North West Great Manchester Run Half Marathon Other event Title of other event Event date Venue Event details Other people involved Would you like a free T-shirt? Yes No Size of T-shirt Small Medium Large Extra large Would you like to buy a Christie running vest? Please note you shall be sent an invoice for £8.00 Yes No Vest size Ladies 10 Ladies 12 Ladies 14 Men's small Men's medium Men's large Men's extra large To help your fundraising you can set up a secure on online fundraising page with Justgiving. If you have already created your Justgiving web page please provide us with its name below. Justgiving website address: www.justgiving.com/ Do you have a particular reason for supporting The Christie at this event? How did you hear about supporting The Christie at this event? The Christie website 'I did it for The Christie' campaign Facebook Twitter Other website Previous participant Employer Visitor to The Christie Poster/flyer Banner E-newsletter Successes magazine Other Christie mailing Headlines Christie staff Word of mouth Newspaper Other I undertake to forward all the proceedings of this fundraising event to The Christie charity within 1 month of the event Please tick the box below to confirm you agree. Personal details Title Mr Mrs Miss Ms Dr First name Surname Gender Female Male Other Address line 1 Address line 2 Town Postcode Telephone Email address Confirm email address Date of birth Data protection Data protection By submitting your donation and personal information you agree to us recording your details on our database, so we can provide you with the best possible support every time you contact us. We will also contact you from time to time by phone, email, text or post to tell you about how we can support you and how you can get involved with our team. Your details will be kept securely and only shared with our suppliers or partners who work on our behalf or with us to deliver and improve services for people affected by cancer. We never sell or swap your details with third parties. If you prefer us not to use your details in this way, you can email firstname.lastname@example.org, telephone 0161 446 3988, or write to us at The Christie charity, 2-4 Candleford House, Manchester, M20 3JH.