Application for the
Bupa London 10km 2015
(Before match-funding; the minimum target is £200. Please note, this does not include gift aid)
(If yes, please be sure to include as much information about yourself and your challenge including your motivations on your form!
Please note, choosing yes does not guarantee that our PR team will be in contact)
(e.g. fitness goals/journey)
☐ We would also like to send you updates and information by phone and by post, if you prefer not to hear from us this way then please tick this box
Please return completed form to email@example.com or post to: