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Registration form

Home » Here to Help » IDDT 14 Mile Challenge: Fundraising Pack » Registration form

Registration form

Register for a Fundraising Pack by completing the form below. If you’d prefer to print a form out and complete a paper copy, click here and return the form to the address provided.

Fundraising Pack

Your details
Your name*
Your age*
Short description of your challenge:*
Is this a 14 mile challenge?
- Yes
Your address*
Street Address Address Line 2 City ZIP / Postal Code Country
Your phone number*
Your email address*
Name
This field is for validation purposes and should be left unchanged.

Back to the Fundraising Pack

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