Volunteer fundraiser registration | Muscular Dystrophy Campaign

Title:
First name:
Surname:
Address:
:
:
Town:
County:
Postcode:
Email:
Daytime Telephone:
Evening Telephone:
Mobile Telephone:
Date of birth:
Can you tell us a little about why you support MDC:
Details of fundraising event/idea:
Date of fundraising event:
By providing the Muscular Dystrophy Campaign with any personal data, you consent to the collection and use of any information you provide in accordance with the above purposes and our privacy statement. Confirm
I understand that I have a legal responsibility to ensure all sponsorship money/donations received to me are paid to the Muscular Dystrophy Campaign. Confirm
We would like to keep you up to date with detail of other activities involving the Muscular Dystrophy Campaign:
To receive this information by email, please tick Yes
If you would prefer not to receive this information by post or telephone please tick No

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