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Tell Us About Your Fundraising

Thank you for choosing to support Beat. The money you raise will help us to continue our support for anyone affected by eating disorders. By providing us with the information requested in this form, you'll enable us to support you in your fundraising efforts and help maximise the amount you raise.

Title

First name

Last name

Email Address

Date of Birth

Telephone

Address 1

Address 2

City

County

Country

Postcode

Some fundraising activities have age restrictions so it’s important we know this.