Register Your Interest in Charity Races

Personal Information

Title

First Name

Surname

Contact Telephone Number

Address

House Number and Street Name

City

County

Post Code

Country

About You

About You:

I have/have had neuroendocrine cancer (NET/NEC/“Carcinoid”)I suspect I have or am I am currently undergoing tests for neuroendocrine cancerI am / was supporting someone with neuroendocrine cancerI am a Healthcare ProfessionalI am an Allied Healthcare ProfessionalI work in the third sector (charity/support organisation)I am a Scientist/Technician/ ResearcherI work in Industry (pharmaceutical/device/product)

Why have you chosen to fundraise for us?

Your Fundraising Event

What event are you planning or participating in? - An organised event i.e. marathon, mud run etc. or organising your own event: i.s. bake sale, personal challenge etc.

Is it a:

Date of Event

How will you be collecting money raised/sponsorship? e.g. Just Giving/Collection Tins etc.

If you have created an online fundraising page, please supply us with the link to your fundraising page

How much are you hoping to raise?

Would your employer match your fundraising? If you're not sure, just ask : ) Many will want to support your amazing challenge or event!

If yes, what is the name of the company you work for?

Merchandise. All merchandise is free of charge!

Sponsorship forms can be downloaded from our website

Sports T-Shirt:
We kindly encourage fundraisers to consider purchasing a fundraising t-shirt to support our cause, but if a purchase is not possible, please specify your t-shirt size in the box provided - maximum 1x t-shirt.

Once you have completed this form you will be directed to our online shop where you can purchase your t-shirt(s)

Charity leaflet
Please state quantity:

Fundraising poster (size A3)
State quantity:

Fundraising poster (size A4)
State quantity:

Neuroendocrine Cancer UK Stickers
1 sheet contains 8 stickers
Please state quantity (sheets):

Cardboard Collection Boxes - Max 5

Swimming Cap - available for swimming events only

Banner - Small (48x24 inches) - TO HIRE, Must be returned. Subject to availability.

1 x Small Banner

Banner - Medium (72x36 inches) - TO HIRE, Must be returned. Subject to availability.

1 x Medium Banner

Hire Agreement

By checking this box you agree to return the banner(s) to Neuroendocrine Cancer UK's office via recorded delivery no later than seven days after the event. Failure to do so will make you liable for the replacements costs.

I agree

To ensure all donations go to supporting neuroendocrine cancer patients and being mindful of the environment, we are reducing the merchandise materials we are offering to our fundraisers. We are creating a new online fundraising pack which will be ready in due course.

Contact Information