Request information for a charity guaranteed place

Title* << select >> Mr Miss Ms Mrs Dr Professor Other  

(Title other)

First name*  

Last name*  

Email*    

Date of birth* (dd/mm/yyyy)    

Address 1*  

Address 2

Town/City*  

County

Postcode*  

What event would you like to take part in?* << select >> Paris Marathon New York Marathon Berlin Marathon Amsterdam Marathon Amsterdam Half Marathon Dublin Marathon Chicago Marathon Rome Marathon Prague Marathon Stockholm Marathon Athens Classic Marathon Paris Half Marathon Other (Please state below)  

(other)

Please select << select >> Macmillan website Race organiser's website Runners World website Run Britain website Google Other search engine Race organiser's magazine Mail / email from Macmillan Local press From Boots Other (please specify)

(other)

Macmillan Cancer Support and our trading companies would like to hold your details in order to contact you about our fundraising, campaigning and services for people affected by cancer.

If you do not want us to contact you about other ways to support us, please tick here.

We do not sell or swap your details with any third parties, but in order to carry out our work we may need to pass your details to service companies authorised to act on our behalf. Find out more about how we use your details.