Manchester Marathon Payment Form

Thank you for running the Adidas Manchester Marathon! Run with us and help save lives.

"*" indicates required fields

Title*

Name*

First Last

Address*

Address line 1 Address Line 2 Town County Postcode

Phone (Home)

Mobile

Email*

Date of Birth*

Do you have a personal connection with the charity or some other reason for supporting us?

Registration Fee*

Price:

All Team North West Air Ambulance Charity (NWAA) place runners are provided with a t-shirt to wear on race day, please provide your size*

I agree to raise the minimum sponsorship of £350. All monies raised must be paid to the North West Air Ambulance Charity no later than three months after the event.*

Yes

Keeping in touch

North West Air Ambulance would like to keep you informed about our work, how your support has helped keep our helicopters in the air and how you can get involved in the future.

Please tick here if you do not wish to receive information about the work of the North West Air Ambulance Charity

by post

by telephone

Using email and text messages helps us to be more cost effective. Please tick here if you are happy to receive information about the work of the North West Air Ambulance Charity

by email

by text

We promise to never share your information with any other organisation for their marketing purposes. Please see our privacy statement at www.nwairambulance.org.uk for detailed information about how we use your data.