Club Information Request Form

Thank you for your interest in The Prostate Cancer Charity. Use the form below to request a club information pack, which contains information about how you can help us, as well as general information about the work of The Prostate Cancer Charity.

We have other materials to help make your event a success, including collection tins, key-rings, posters, balloons and much more.

Please call us on 0208 222 7630 or 0208 222 7632 for more information.

Page last updated: September 25th 2007

The Club you are a member of:
Your position in the club:
Are you organising a specific event? If so please give details:
Name:
Address:

Postcode:
Telephone:
Email:
Where did you hear about The Prostate Cancer Charity?
Further information you would like us to know:
I agree that my personal details can be recorded on the understanding that they are only used by The Prostate Cancer Charity and not passed onto a third party.