Fundraisers form

Organising your own fundraising event/s
Thank you for choosing Ayrshire Baby Loss Support

We are so delighted that you have chosen to fundraise for us. As a voluntary organisation we rely on donations and fundraisers such as yourself to enable us to offer support to bereaved families, friends and professionals affected by baby loss. Please use the form below to let us know what you are thinking, so we can help where possible
By submitting this form, you consent to us holding your details and contacting you regarding your fundraiser as and when required
Tell us about yourself
Name *

First Name Last Name
Email *
example@example.com
Landline Number
Please enter your contact phone number.
Mobile Number
Please enter your contact phone number.
Address *

Street Address

Street Address Line 2

Town County

Post Code
Date of Birth (if under 18)

Day Month Year
Date
We'd love to know why you have chosen to fundraise for Ayrshire Baby Loss Support

Fundraising Terms and Conditions
Everyone who organises an event/s for Ayrshire Baby Loss Support must agree to our Terms and Conditions below.

If you would like a copy of our Terms and Conditions emailed to yourself, please let us know.
Please confirm you have read and agreed to these *

I understand and agree to the terms and conditions
Please verify that you are human *

Tell us about your event/s
Please tell us the name of your fundraising event/s, if you have one
Start Date of event/s *

Day Month Year
Date
End Date of event/s *

Day Month Year
Date
Please tell us about your fundraising event/s. Include as much detail as possible *
Are you fundraising with others *

Yes No
How much are you hoping to raise *
Do you have a fundraising page already set up and if so what it is:

Last step
We would like to say thank again, in chosing us for your fundraising efforts

You will be contacted shortly regarding your fundraiser, but if you have any questions, require any help, or need anything else from us in the meantime, please just let us know
By submitting this form, you agree that:

You have read and agreed to our fundraising Terms and Conditions which are applicable to anyone fundraising for Ayrshire Baby Loss Support.

We may contact you regarding your fundraising event/s.

If your contact details change, you will let us know as soon as possible.
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Organising your own fundraising event/s