Personal Details Personal Details Title Title - Select -MissMsMrMrsDrOther… Enter other… First name Last name Date of birth Contact Details Address Address Address 2 City/Town County Postal Code Telephone Email Event Details What event are you planning to participate in? What event are you planning to participate in? - Select -Bournemouth Marathon FestivalCardiff Half MarathonChiltern ChallengeGreat Birmingham RunGreat Bristol Half MarathonGreat North RunGreat South RunGreat Wall of China - TrekGreat West RunCotswold Way ChallengeEdinburgh Marathon FestivalHammer Gran FondoHeron HalfIsle of Wight Action ChallengeJurassic Coast Action ChallengeLondon 2 Brighton Action ChallengeNorth Downs ChallengePeak District ChallengePlymouth 10kPlymouth Ocean Half MarathonRNRMC Heroes Cycle ChallengeSnowdon By NightSouth Coast ChallengeTamar Bridge 10kThames Path Action ChallengeTwickenham 100Yeovil MarathonLondon Landmarks Half MarathonOther… Date of fundraising event I would like to apply for an RNRMC space for this event Fundraiser Details Have you fundraised with the RNRMC before? - Select -YesNo What was the name of the event/team name/leader? How did you hear about the RNRMC? How did you hear about the RNRMC? - Select -Advert – NewspaperBeneficiaryPostCharity ChallengeCharity PresentationEmailFleet MediaGift Aid FormIn PersonJustRunningMajor Event GuestlistRNRMC NewsletterSocial MediaSponsor FormVirgin Money GivingWebsite (online)Other… Enter other… RNRMC Fundraising T-shirt I would like a: Cotton T-shirt Tech T-shirt We ask that a minimum of £30 is raised in order to receive a Tech T-shirt. I don't require a t-shirt or running vest Cotton T-shirt Small Medium Large XL XXL Tech T-shirt Ladies Small Ladies Medium Small Ladies Large Large XL Medium XXL Serving Personnel I am a serving RN/RM/RNR/URNU Service no. Rank Where are you based? Did you know? Are you aware that if you are a member of the Payroll Giving Scheme, you may be covered by sports insurance for the activities you participate in? For more information contact dean.rogers@rnrmc.org.uk. Contact Preferences We would like to keep in touch with you by post or phone to tell you more about our services and other ways you can help, including donating, fundraising or volunteering. If you don’t want to hear from us or wish to change how we contact you please email fundraising@rnrmc.org.uk or call 02392 871532 (office hours 9am-4pm, Monday to Friday). We promise to keep your details safe. We will never sell or swap your details with anyone. Please let us know if you would like to hear from us about: Charity News Fundraising Communications By Email SMS Post