Gold Bond Application Form

Fields marked with an asterisk * are required.

Personal Information

First Name *  
Surname *  
Title
Occupation
Email
  *   
Confirm Email * 
Telephone * 
Telephone Type
Date of Birth *
Nationality

Home Address

Postcode * 
Address 1 * 
Address 2
Address 3
Town * 
County
Country * 
Previous Marathons
Best time
Predicted time for London
T-shirt size * 
I would like to run in a rhino costume
How did you hear about Save the Rhino? (50 words)
*

Fundraising
Why do you want to run for Save the Rhino? (250 words)
*
If you have previous experience of charity fundraising please provide
details of the charities, events and fundraising success. I understand
that Save the Rhino may contact these charities for reference purposes.
(250 words)
*
Please detail how you will fundraise and how much sponsorship
money you think you will raise. You could raise money from friends,
family, work colleagues, company sponsorship, sports/social clubs,
or by putting on your own events. (250 words)
*
Total Target Sponsorship *

Training is more fun with a friend!
If you think a colleague, friend or family member would be interested
in running for us please fill in their details below and we will send them
an information sheet. (250 words)

Data Protection
Please note that Save the Rhino will hold and use data supplied for
London Marathon and administrative purposes.

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