Wear it pink this October At work. At school. At home. Wherever you do it, wear pink and raise money to fund life-changing research and support
Home Get involved Do your own fundraising Request your fundraising pack About you Please fill out our form and we'll send your fundraising pack in the post. We’ll also send you fundraising tips, advice, and any useful updates about what your fundraising is helping to achieve by email, mobile messaging or social media. Title * Select an option Mr Mrs Ms Miss Mx Dr Professor First name * Last name * Date of birth Day Month Year Email * Phone number * Address Your address * Add your postcode below to find your address. Enter address manually Address line 1 * Address line 2 Address line 3 Town / city * County Postcode * Country How much money do you hope to raise? * Select an option Up to £200 £200-£500 £500-£1000 £1000-£2000 £2000-£5000 £5000 or more Do you already have an event date booked in? * Do you already have an event date booked in? Yes No When is your event due to start? * Day Month Year When is your event due to end? * When is your event due to end? On the same day On another day End date of your event: * Day Month Year What type of event is this? * Select an option Ball BBQ Bucket collection Cake sale Celebration event Coffee morning Dress down day Golf day Head shave Sponsored event Sports day Sweepstake Walk Quiz Other What kind of event are you thinking about? * Select an option I'm not sure yet Ball Bucket collection Cake sale Celebration event Coffee morning Dress down day Golf day Head shave Sponsored event Walk Quiz Other Please give us as much detail as you can about your plans so far. This will help us to give you the best possible support with your fundraising. Who are you fundraising with? Name of your club, school or workplace How did you hear about fundraising with us? * Select an option Facebook X, formerly Twitter Instagram Email Breast Cancer Now website Word of mouth Post Telephone call Magazine advert Newspaper Advert I've taken part before Radio TV advert Do you have a connection to breast cancer? If you select information about your health from the drop-down menu, we may use this to provide you with tailored breast health information, volunteering opportunities and to manage how we communicate with you. We may also use this information to better understand our supporters. By selecting the information relating to my health status, I agree to Breast Cancer Now using the information for the above purpose. If you no longer want us to use your information in these ways, you can get in touch to withdraw your permission using the contact details on this form. Experience of breast cancer Select an option I have/have had primary breast cancer I have secondary/metastatic breast cancer (spread to another part of the body) I have the BRCA gene I'm worried I'm at risk of breast cancer A family member has/has had breast cancer Someone I know has/had breast cancer I have lost someone to breast cancer I have a professional/academic interest in breast cancer I'm a healthcare professional I have no experience of breast cancer I’d prefer not to say Keeping in touch with Breast Cancer Now We’d like to tell you about ways you can help further, including through donating, fundraising, campaigning and volunteering, and send you updates on our research, the support we provide, breast health information and our wider work to achieve our aims. If you already hear from us, we will continue to contact you in the same way. If you don’t already hear from us, please tick the box if you are happy to be contacted by: Email Mobile How we use your information From time to time, we may contact you by telephone and post about Breast Cancer Now, to keep you updated on our work and ways you can help. You can change the way you hear from us at any time by emailing us at hello@breastcancernow.org or calling us on 0333 20 70 300. To help us to work more efficiently, we may analyse your information to make sure you receive the most relevant communications, and to target our digital advertising. This may include using publicly available information. You can ask us to stop this at any time, by contacting us using the above contact details. You can read more about how we will use your information in our privacy policy. Submit Share this page Copy link
