Fundraising Agreement Form Name Company (If applicable) Address Post Code Email Name of your event Description of your event Date of Event Location How did you hear about us? Would you like a collection bucket? (if yes please state how many) Would you like a collection tin? (if yes please state how many) Would you like a sponsor form?YesNo Would you like some balloons?YesNo How can we contact you? Ensuring we contact you in the ways that you would like to be communicated with is very important to us. you can change your preferences at any time by contacting us at info@zoes-place.org.uk or on 02476 361675. We will store your personal details securely and will not share or sell your data.PostEmailTelephoneText Message By submitting this form you agree that you undertake the fundraising activity at your own risk and that Zoe's Place is not responsible for any injury which may result, you also agree to the Fundraising code of practice, a copy of which can be found on this website. Any buckets or tins must be returned unopened and any unused buckets returned to the hospice. Any monies received from this event must be paid over to Zoe's Place within 8 weeks unless otherwise agreed. Any sponsors will be recorded on an official Zoe's Place Sponsorship form or online via a site such as JustGiving. I agree