Brighton Marathon 2010 own place registration form

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

We would like to keep you informed about Guide Dogs, its trading company, its activities, products and services and ways you can help. If you do not wish to receive this information, please tick this box