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Talks and information stands

Please fill out the form below to request a speaker or information stand for your event.

* denotes a required field

Organisation name

Title*

First name*

Last name*

Telephone*

Address*

Town/City*

County*

Postcode*

Email address*

What type of request

Date of event*

Time of event*

Venue name

Venue address*

Number of people likely to be present

How we will use your personal information:

By giving your name and contact details you are consenting to The Prostate Cancer Charity processing this data. We, or our trading company, The Prostate Cancer Trading Ltd, Company Number 06157784, will also use those details to communicate with you and provide you with information about our news, events, products and fundraising activities.

If you do not wish to receive this information please tick the box.

We would like to send you information about the charity and our news, events, products and fundraising activities by post and telephone. If you do not want to be contacted in this way please tick the relevant box/es.

No Post
No Telephone

Electronic Communications

If you are happy to be contacted by email please tick the box

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Talks and information stands

How we will use your personal information:

Electronic Communications

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