Employee Fundraising enquiry form

Please help us to support you by completing and submitting this form.

Fields marked with an asterix * are mandatory

Title: *
Name: *
Job title: *
Company name: *
Address: *
Postcode: *
Daytime telephone number: *
Email address: *
  Please tick this box if you would like to receive occasional emails about Breast Cancer Campaign's activities
Have you fundraised / held an event for Campaign before?   Yes   No
What do you plan to do? *
When do you plan to do it?
Will it be company-wide or within your department?
Please specify approximate number of people taking part and your fundraising target.
Do you require free fundraising materials?   Yes   No
Download fundraising materials form


Data protection:

The personal information you provide will be held securely in accordance with our internal policy and the Data Protection Act 1998. For more details please contact Data Protection, Breast Cancer Campaign, Clifton Centre, 110 Clifton Street, London, EC2A 4HT or see our website www.breastcancercampaign.org.

Keep in touch:

We will write to you from time to time to update you on Breast Cancer Campaign's progress and successes. If you would prefer that we didn’t write to you tick here.

We may allow some carefully selected organisations to write to you in the future, if you would prefer to be excluded from this activity tick here.