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Fundraising Registration Form

Please complete this form to register your fundraising activity with us. The information submitted below will only be used for correspondance regarding your fundraising activity and will not be used for marketing purposes or shared with any other organisations.

If you prefer to print out the form and fill it in please click here to download the Fundraising Registration Form

Home Address





Work Address





Contact Number



Please let us know if you would like any of the following fundraising aids:
Donation CanSponsor formsCharity logo (by email jpg)Fundraising ideas

By submitting this form I agree to send in all monies raised in relation to my fundraising efforts and any relevant sponsor forms or documentation to Northamptonshire Health Charitable Fund within a reasonable amount of time following completion of my fundraising.*
I confirm I have read the above declaration

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