DIY Fundraising enquiry form

Date of birth (you must be over 18 or we need consent from a parent/guardian) (required)

Organisation (if applicable) Fill in your organisation details if you are completing on behalf of an organisation

What date is your event? Leave blank if you have not set a date yet

What type of event are you doing?

Bake sale/coffee morningCollectionGive something upRun/Walk/CycleAwareness raisingSkydiveOtherI don’t know

What is your connection to dystonia? (required)

Have you done any fundraising before? (required)

Help us provide the much-needed support to people living with dystonia and create UK and worldwide awareness. Hear about our breakthroughs, campaigns and how you can support our work.

We may contact you by post or phone, unless you select ‘no’ below:

EmailTextPhonePostDo not contact me

We will send your pack in the next few days. Thank you again for supporting the 100,000 people affected by dystonia.