event notification form

Event Notification Form

Your Name(*)

Please let us know your name.

Address(*)

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Postcode(*)

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Phone Number(*)

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Your Email(*)

Please let us know your email address.

Please describe your event(*)

Please write a subject for your message.

Are there any other details you would like to tell us about(*)

Please let us know your message.

Are you happy for to go to the press if suitable(*)

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Do you give permission for the free use of pictures of your event in our newsletters or future promotions(*)

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While holding/carrying out my event, I will: 1. Return all funds raised to MS Research within six weeks after my event 2. Send all donations to MS Research directly in cheque form (made payable to MS Research and sent to MS Research, The Vassall Centre, Gill Avenue, Fishponds, Bristol, BS16 2QQ) or by electronic payment through the MS Research website. 3. Take note of health and safety risks during the event, protect myself and others. *(*)

I will do my best to comply with the above points. Invalid Input

(*)

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