Apply for a Charity Place for the PTC at the Virtual Virgin Money London Marathon 2021

Thank you for choosing to apply for a charity place for Virtual Virgin Money London Marathon for The Police Treatment Centres. Successful applicants will be notified by email. Successful applicants will be required to pay a registration fee of £25.00 and commit to a minimum fundraising target of £350.00

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* 1. First Name

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* 2. Last Name

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* 3. Email Address

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* 4. Telephone Number

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* 5. Police Force (if applicable)

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* 6. Will your Force or company match fund your fundraising?

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* 7. Date of Birth

Date / Time

Date

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* 8. We would love to share your story, would you be happy to feature on our website and social media?

Yes

No

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* 9. Please tell us why you are applying for one of our charity places.

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* 10. What is your fundraising target and how to do plan on reaching it? (we are asking all applicants to commit to raising at least £350 for the PTC)

100% of survey complete.