RideLondon - Essex 100

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Expression of Interest Form

Want to be part of the world’s greatest festival of cycling and raise vital funds to support our work to help patients live well, for longer? Complete the form below and let us know why you would love to be part of #TeamPelican in the 2022 The RideLondon-Essex 100!

(You need to put your email twice, so a copy of this form will be shared when you hit submit).

Email *

Your Details

Full name: (ie. Mr Adam Smith) *

Home address & postcode: *

Email address: *

Home telephone: *

Mobile number: *

Your Contact Preferences

Consent *

Yes

I’m happy to receive emails from Pelican Cancer Foundation

I’m happy to receive mail from Pelican Cancer Foundation

I’m happy to receive phone calls from Pelican Cancer Foundation

I’m happy for Pelican Cancer Foundation to contact me via text

Why Team Pelican?

Have you ever supported Pelican Cancer Foundation before? *

Why did you choose to support Pelican Cancer Foundation? *

Fundraising

Have you raised money for a charity before? *

Yes

If yes, please detail below the charity you raised money for, how much you raised and how.

By taking a place in the #TeamPelican 2022 TCS The RideLondon-Essex 100 you will be required to fundraise a minimum of £450 to support our vital work. Please write a plan below detailing how you will raise this money: *

You will be notified if you have been successful in securing a place with Team Pelican early 2022. If there are any questions in the meantime, please don’t hesitate to get in touch - fundraising@pelicancancer.org. Thank you so much for your interest in supporting Pelican Cancer Foundation!

A copy of your responses will be emailed to the address you provided.

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