12.07.2015 Views

Digital event registration form template - British Heart Foundation

Digital event registration form template - British Heart Foundation

Digital event registration form template - British Heart Foundation

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

Payment options (Please tick one) Cheque Please make cheques payable to ‘<strong>British</strong> <strong>Heart</strong> <strong>Foundation</strong>’ Credit/debit card Please complete all details (for postal entry use only)Cardholder’s full name: ............................................................................Cardholder’s full address: (The address the card is registered to)........................................................................................................................................................................................................................................................Postcode: (Must be included) ..........................................................................Visa Mastercard Visa Delta Maestro Card No:Valid from: / Expiry date: /Issue No. (Maestro only)Total £ ............................................................................................Declaration: I confirm that I have read and agree to theterms and conditions set out at bhf.org.uk/<strong>event</strong>sterms.Signed: ............................................................................................................Date: ................................................................................................................For a participant under the age of 16 to take part in this <strong>event</strong>, an adult must givepermission by signing this declaration.Terms and conditionsAll submitted applications are received by the BHF on the basis that the participant agrees to the terms and conditions which can befound at bhf.org.uk/<strong>event</strong>sterms. A copy can be requested by contacting us on 0845 130 8663 or via <strong>event</strong>s@bhf.org.uk.Contact preferencesThe BHF would also like to keep you up to date on our work and what you’re helping us to achieve. Please tick if you do not wish tobe contacted by post about our <strong>event</strong>s or our other work . Please tick if you do not wish to hear from us by phone about our<strong>event</strong>s or our other work . We may allow other carefully selected organisations to contact our supporters. If you do not wish tohear from them, tick here .© <strong>British</strong> <strong>Heart</strong> <strong>Foundation</strong> 2013, registered charity in England and Wales (225971) and in Scotland (SC039426)

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!