Tel: 01782 344300
Email: post@dmhospice.org.uk
Thursday 29th February at 12.00pm.
Attendee Name*
Email Address*
No. of people attending including yourself*
Dietary Requirements
We respect the data you will provide on this form and we will only use it within Douglas Macmillan Hospice to contact you regarding your enquiry. The data provided will be archived once your enquiry is fulfilled.
I agree to the Douglas Macmillan Hospice privacy policy.
Title* Please SelectMrMasterMrsMissMsMx
First Name*
Last Name*
Organisation Name (if applicable)
Group size If you are taking part as a group, please let us know how many people are in your group including yourself.
Address Line 1* (Use organisation if applicable)
Postcode* (Use organisation if applicable)
Telephone Number*
T-shirts* Please list sizes (S, M, L, XL, XXL or No t-shirt) and quantities (if you are registering as part of a group) in the space below.
How did you hear about Steptember?* Please SelectDougie Mac Social MediaDougie Mac WebsiteDougie Mac EmailWord of MouthOther Advertising
Email Opt In I opt in to email communications from Dougie Mac about ways to support the hospice and the care my help providesI do not opt in to email communications from Dougie Mac about ways to support the hospice and the care my help provides
Data Collection Statement We respect the data you will provide on this form and we will only use it within Douglas Macmillan Hospice to contact you regarding your enquiry. The data provided will be archived once your enquiry is fulfilled.
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