Request a British Heart Foundation fundraising pack and we'll be in touch to support you with your fundraising and training. We'll send you your very own red Heart Runners top. Important: Make sure you have a place confirmed by the event organiser before you start fundraising.

If you have any problems completing this form, please call us on 0844 477 1181 or email heartrunners@bhf.org.uk.

* Do you have a confirmed place?

* First name

* Last name

* Postal address

* Date of birth (DD/MM/YYYY)

* Phone number

* Company name

* Email address

* Confirm email address

* What is your fundraising target?

T