St Raphael's London Marathon 2020 Application Form Question Title * 1. Contact Information Title/First Name/Surname Occupation Address Town County Post Code Daytime Phone Number Email Address Date of Birth Question Title * 2. Where did you hear about St Raphael's London Marathon guaranteed places? St Raphael's Website Facebook Twitter London Marathon Website Local Newspaper/Magazine Word of Mouth Posters/Flyers in Charity Shops St Raphael's E-newsletter Other (please specify) Question Title * 3. Why do you want to run the London Marathon for St Raphael's Hospice? Question Title * 4. Have you applied for your own place through the official London Marathon ballot? Yes No Question Title * 5. Have you run a marathon before? Yes No If yes, please give details of the event, when it was, was it on behalf of a charity and how much did you raise? Question Title * 6. Will you be running for more than one charity? Yes No Question Title * 7. How much do you expect to raise for St Raphael's Hospice? Please also give specific details of how you would raise this. Question Title * 8. Will your company match your sponsorship? Yes No If yes, please give details Question Title * 9. From time to time we would like to let you know about the work of St Raphael's Hospice, its fundraising and events. Please specify below how you would like us to contact you.Your data will be added to our database in line with regulatory standards. We will always note your preferences and if you do not want to hear from us we will respect your wishes. We do not sell or share your data with anyone. If we do telephone you, we will always check if you want to hear from us. You can change your contact preferences at any time by emailing supportercare@straphaels.org.uk.During the event we may take photo/video which we would later use in our publicity/social media etc. Please tick below if you are happy for us to use images of yourself. Phone Mobile SMS (Text Message) Post Email Please tick if you would not like to be contacted by us at all I am happy for photos/videos of me to be used in future St Raphael's publicity I would like to apply for a London Marathon guaranteed place and if successful I pledge to try to raise the minimum sponsorship of £1,950.St Raphael's guaranteed places are very limited and will be allocated before the results of the official London Marathon ballot. For any queries please contact Samantha Bourne, Events Fundraiser, on 020 8254 2467 or email her at samanthabourne@straphaels.org.uk. Thank you for your support. Submit