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Brighton Marathon 2012 Registration

Your name :

Your e-mail address:

Daytime phone number :

Have you run a marathon before: Yes No

What is your expected time:

How much sponsorship are you expecting to raise*:

Running vest size :

Postal Address to despatch your vest to:

Post Code:

To claim one of our charity places you will be asked to make a donation of £50. Once your sponsorship reaches £300 you may re-claim your donation**.

I agree to make a £50 donation
I do not agree to make a £50 donation
I have already secured my own place

If you would NOT like to receive Sussex Wildlife Trust e-newsletter, tick here:

* Any runner withdrawing from the race for whatever reason must take responsibility themselves for resolving any donations already pledged or received.
** Your £50 donation covers administration costs to allow the Sussex Wildlife Trust to buy charity places in advance from the race organisers. We will refund that donation once £300 in sponsorship funds are received.
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