Free Charity Draw Form
Your name
*
First Name
Last Name
Your email address
*
example@example.com
What donation would you like if drawn out of the hat?
*
200 Printed Balloons and 200 x 1 Piece Balloon Sticks
500 Printed Balloons
5 Full Colour Foil Balloons
10 Printed Mugs
£40 Cash Donation
The name of the charity you are nominating
*
Please tell us the charities delivery address
*
Website for the charity
*
Donation link for the charity
Twitter username for the charity (please follow us @balloons4charity also)
i.e @balloons4charity
Facebook username for the charity (please follow us facebook.com/balloons4charity also)
i.e @balloons4charity
In less than 50 words, what does your charity support?
*
What will your prize be used for or towards?
*
I understand if drawn out of the hat, we have 7 days to accept the prize, and send the appropriate details required for the requested prize otherwise it will be redrawn.
*
Yes
No
Submit
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