Brighton Marathon 2011 - own place registration

I confirm that I have my own place in the Brighton Marathon 2011*

Fields marked with a * are mandatory

First name*

Surname*

Name by which you would like to be known*

House number/name*

Postcode*

Email*

Please supply your email address for confirmation and further event information by email. You can unsubscribe at any time by emailing events@guidedogs.org.uk

Mobile telephone number

Employer

Please indicate your t-shirt size

(Please note that we recommend that when choosing your t-shirt size you add 2-4 inches to your actual chest measurement for comfort when running)

Where did you find out about joining Team Guide Dogs?*

Declaration: By submitting this form, I have read and accept all the points stated in the Fundraiser Agreement*

Keeping in touch

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