London to Paris 2009 Information request form

We are delighted that you are interested in supporting us by taking part in this event.

Please complete the form below and then press submit. We will then add you to our mailing list and will send out more detailed information about the event.

* denotes a required field

Title

First name *

Surname *

Address 1 *

Address 2

Address 3

Town *

County *

Postcode *

Email *

Phone number *

Mobile

Where did you hear about this event? *

The Stroke Association would like to keep you informed about the work we are helping to make possible. Please choose 'Yes' if you are happy for us to contact you

We will sometimes allow other organisations whose aims are in sympathy with our own to contact our supporters. Please choose 'Yes' if you are happy for these organisations to contact you.

Are you happy for us to send you information about The Stroke Association's work by email?

Volunteers play a crucial role in the work of The Stroke Association and in delivering the National Events calendar. Please select 'Yes' if you are happy for us to contact you about volunteering opportunities.