Thank you for your interest in supporting the Stroke Association. Please fill in the form below to register your details with us and we'll get you a fundraising pack sent out as soon as possible. * denotes a required field Title * First name * Last name * Do you know what fundraising activity you'd like to do? - None -YesNo We’d love to hear what you're planning on doing and how much you're aiming to raise Event date (if applicable) Date of birth Address line 1 * Address line 2 Town * County Postcode * Email * Contact number * Staying in touch We greatly appreciate your support which will help to make a real difference to stroke survivors and their families. Occasionally we’d like to keep you updated about our work and fundraising activities. You can change or stop the way we contact you at any time by calling our friendly Supporter Care team on 0300 330 0740, or by emailing supportercare@stroke.org.uk I'm happy for the Stroke Association to keep in touch about the work I'm helping make possible.* Yes No I'm happy for the Stroke Association to send me information by email.* Yes No ** If you already receive communications from the Stroke Association, please select ‘Yes’ to ensure that you continue to do so. Consent to staying in touch: Join our community, supporting thousands of people and families affected by stroke across the UK. Here at the Stroke Association we take your privacy seriously and will use your personal information to process this form. For more details on how we look after your personal information, read our privacy policy at stroke.org.uk/privacy Please tick here to find out about our vital support services for stroke survivors and their friends and family, and our ground-breaking research. Yes Please tick here to hear about opportunities to support stroke survivors, both locally and nationally, through campaigning, volunteering and fundraising for us, including ways to donate. We can only continue to deliver these life changing services with public support. Yes Let us know how you want to keep in touch Please tick if you consent to being contacted in this way: Email Yes Phone Yes SMS Yes Post Yes If you change your mind at any time, please phone our supporter care team on 0300 3300 740 or email: supportercare@stroke.org.uk Leave this field blank Tags: Fundraising Stroke Association