Ladies Lunch Registration Form

Registration form
Title: Forname: Surname: Date of birth: Organisation (If applicable): Address:

Town: County: Postcode: Must be correct format eg PY34 4YT with a space between the 1st and 2nd part. Letters MUST be uppercase Daytime telephone: Evening telephone: Mobile telephone: Email: Confirm email: Where did you hear about Ladies lunch month: What is your relationship with The Christie? What type of Ladies Lunch are you planning to organise and where?

We value your support and promise to respect your privacy. The data we gather and hold is managed in accordance with the Data Protection Act (1998). We will not disclose or share personal information supplied by you with any third party organisations. By giving us your details you are agreeing for us to contact you about our work and other fundraising activities.

If you are happy for us to do so please tick this box Ladies Lunch Fundraising Pack Please post me a Ladies Lunch Fundraising Pack
Please DO NOT post me a Ladies Lunch Fundraising Pack. I will download the materials myself We would like to keep you up to date on our work. If you are happy to receive our free monthly email newsletter please let us know by ticking this box.

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Ladies Lunch Registration Form

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