Penumbra Fundraising Application to the Fitton Trust
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Penumbra Golden Bond Application Form
Virgin London Marathon – Sunday 23 April 2017
Allocation of Penumbra’s Golden Bond place will depend entirely on the information given on this form, so please give as much detail as you can in each section.
Title First name Last name
Address Postcode
Daytime contact number
Date of birth (required for VLM official entry) Age on race day
Company Occupation
Predicted finishing time (required for VLM official entry)
How did you hear about Penumbra’s Golden Bond places (ie VLM website etc)?
How many marathons / half marathons have you completed?
Marathons Half Marathons
Why do you wish to run the London Marathon for Penumbra?
Registered Office: Norton Park, 57 Albion Road, Edinburgh EH7 5QY T: 0131 475 2380 F: 0131 475 2391 W: www.penumbra.org.uk Penumbra is recognised as a charity by the Inland Revenue – Scottish Charity No: SC010387 Registered in Scotland No: 91542 Your fundraising experience Please provide details of any fundraising activities you have previously taken part in, whether for Penumbra or another charity.
Date Charity Amount raised How did you raise this amount?
We ask those that are awarded a Penumbra golden bond place to raise a minimum of £2,000. Please tell us how much you think you could raise if awarded a place. £ Please detail 3 methods you would use to enable you to raise this amount or more
Details on how you would raise £2,000 Estimated monies raised
1.
2.
3.
Your declaration
I understand that if accepted for a Penumbra charity place, I pledge to raise a minimum of £2,000 for Penumbra.
Signed Date
Please take a copy for your records and return no later than 28 October 2016 to: Fundraising Team, Penumbra, Norton Park, 57 Albion Road, Edinburgh EH7 5QY or email to [email protected]
Next steps: 1. Results of the official Virgin London Marathon ballot will be announced to all entrants at the start of October 2016. 2. Once the results of the official ballot have been announced in October, Penumbra will allocate its Golden Bond place. 3. If you were lucky in the official Virgin London Marathon ballot and received your own place, we’d love for you to run for Penumbra.
Thank you and good luck with your application. Registered Office: Norton Park, 57 Albion Road, Edinburgh EH7 5QY T: 0131 475 2380 F: 0131 475 2391 W: www.penumbra.org.uk Penumbra is recognised as a charity by the Inland Revenue – Scottish Charity No: SC010387 Registered in Scotland No: 91542