Whichever is your preferred number
Date of birth (dd/mm/yyyy)
How did you hear about this event
Meningitis Now website
Other - how I heard
Your meningitis experience
Which event are you taking part in?
Date of your event?
Location of your event?
Are you willing to share your story with the media and help us to raise awareness about meningitis, the work of Meningitis Now and your involvement?
If you are happy to give us some brief details about your meningitis experience, please use this box
Why are you interested in taking part in this event?
Other - Please specify the reason
If you are holding this event in memory or in celebration, what is your relationship with the person?
Keep in touch
Please let us know what you'd like to hear about
Get informed: Meningitis information
Get support: How we support those affected by meningitis
Get involved: How you can support us
All the above
I don't want to hear from you
Meningitis Information:- includes updates about the impact of the disease, vaccine programmes, our campaigns, and media activity...... How we support those affected:- includes our Family Days, Believe & Achieve weekends, Forever Days, invitations to some key events organised by us e.g. Christmas Carol Concerts...... How you can support us:- includes information about donating your time through volunteering or organising fundraising activities, how to get involved by taking part in an event such as Three Peaks Challenge, or our Five Valleys Walk and how you can donate to us through our cash appeals, or by purchasing merchandise e.g. Christmas cards
And please let us know how we can contact you
We will only communicate with you about the aspect(s) of our work you’ve requested, in the way(s) that you have requested. We may also contact you for administrative purposes or to fulfil a service or request. We never sell our supporter data and only share this with suppliers helping us in our cause. To find out more about how we process personal data and respect your rights, please visit our
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