London Marathon Charity Place Form

First name

Last name

Address

Phone number

Email

Please tell us why you want to support Autistica

How much money do you hope to raise for Autistica?

How will you reach or exceed the minimum sponsorship target of £2,500. Please give details of your fundraising plans.

Will this be your first marathon? Yes No

Does your company have a match giving scheme? Yes No I don't know

If yes, what is the name of your company?

Please let us know you running vest size? XS S M L XL

Have you entered the London Marathon ballot? Yes No

Have you applied to any other charities? If yes, please let us know which. ones

If you are active on socia media, please share your handles here.

How did you hear about Autistica? Email Social Media Google Search London Marathon website

Terms and Conditions

Check this box to confirm you have read and agree to our event fundraising terms and conditions.