Doing your own thing? Tell us more

Thank you for choosing to support us. By raising money for Delete Blood Cancer UK (DBCUK)you are ensuring nobody with a blood cancer should die because they are unable to find a matching blood stem cell. With a diagnosis every 20 minutes in the UK we need your help to fight blood cancers such as Leukeamia, Lymphoma, and Myeloma.

So whatever fundraising activity you organise or take part in, you can be sure you are helping to increase the pool of lifesaving stem cell donorsso that there is a donor for everyone who needs one. Pease fill this form in clearly with as much detail as possible so that we can support you all the way.

About you
Title: / Name: / Surname:
Address:
Town: / Postcode:
Mobile: / Daytime phone:
Email: / Gender: (please circle) Female Male
DOB: / Where do you work?:
Your Twitter account: / Your Facebook account:
What is your connection to DBCUK?
Blood cancer patient Registered with DBCUK as a donor

Family of patient Registered as a donor with another organisation

Friend of patient I have no connection

In memory of a patient

Other (please specify) ……………………………………………………………………………………………………………………….
Why have you chosen to support DBCUK?
Could we share your fundraising page on social media? Yes No
Can we contact you about issuing a press release about your fundraising activity? Yes No
About your event/activity
Name of proposed event/activity: / Date of proposed activity:
Location of proposed activity: / Are you fundraising alone or as part of a group/team?
Please list below anyone involved in your activity/event who will also be paying in money:
Name / Email
How much do you hope to raise from this event/activity?
£ …………….
Brief description of proposed event/activity and location, e.g. run, cycle, trek, collection, raffle, work challenge etc.:
Will your work place match the amount you raise? (please circle) Yes No NoI’ll ask

Asking people to donate online is a quick and easy way to collect those lifesaving funds. There are lots of websites you can use to set up an online fundraising page but we find Virgin Money Giving and JustGiving are particularly good. Your friends, family or colleagues can donate instantly and securely, and we receive the money automatically. It also makes it easy for us to reclaim Gift Aid (25p extra collected from the government for every £1 donated, at no cost to you).

Order your support materials
We have a number of materials that can be ordered to help you decorate and advertise your fundraising event/activity. These are suitable for both small and medium scale events. Although these items will be provided to you free of charge there are costs incurred by DBCUK, so please think carefully before ordering and please only order what you need.
Item / Size / Max. available / Quantity/Size
A poster you can personalise / A3 / 20 (unlimited via email)
Sponsorship form / A4 / 10 (unlimited via email)
Fundraising guide with ideas and tips / A5 / 20 (unlimited via email)
DBCUK information poster / A4 / 50 (unlimited via email)
Authorisation Letter / On letter head paper / 1
T-Shirt (no L available) / S/M/XL / 1 per fundraiser
OR
Dri-FIT running vest / M/L/XL/XXL / 1 per fundraiser
Balloons / - / 5
Folding collection box / - / 5
Plastic collection tin / - / 2
Collection bucket label / - / 10
We have additional materials that can be ordered to help boost your fundraising total. Although these items are provided free of charge we strongly recommend you offer them ‘in return for a donation’ using the suggested amounts listed below (the suggested amounts allow us to cover the cost so we continue raising money to fund our vital work). Please order only what you need and take account of any postage costs for unused items.
Item / Max. available / Suggested donation per item / Quantity/size
T-shirt / 20 S/M/L/XL/XXL / £5
Dri-FIT cycling jersey / 10 M//L/XL/XXL / £17
Dri-FIT running vest / 10 M/L/XL/XXL / £7
Wristband / 20 / £2
Pen / 50 / 50p

All information will be treated with strictest confidence and will be used for our administrative purposes, to assist us with internal marketing or to supply you with further information on the work of our charity and the different ways you may wish to support us. DBCUK doesn’t share this information with third parties unrelated to it. If at any time you prefer not to receive this information please contact us on 020 8747 5620 or email

Please return this form:

By post to:FREEPOST RTRB-ZCTT-RXUG, Delete Blood Cancer UK, Ashburnham House, Castle Row, Horticultural Place, W4 4JQ

By email to:

Thank you