Simplyhealth Great Birmingham Run | Sunday, 13 October 2019
Charity Place Application

If your application is successful, you must pay a non-refundable admin fee of £20 no later than 15 September 2019 to secure your guaranteed charity place. Failure to pay will result in your entry being withdrawn

Name *
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Address *
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Postcode *
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Date of Birth
Email Address *
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Where did you see this event/charity place advertised? *
Please let us know why you would like to take part in this event. *
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Running top size *
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