for better mental health

London to Amsterdam Application Form 2019

1 of 5 ABOUT YOU

Please enter your postcode below, and select your address from the suggestions.

Please check the address shown is correct before continuing

2 of 5 FREE MIND TOP

As a sponsor for Mind you can get a free top to wear during the event!

What kind of top would you like? (t-shirts (not tops) are 100% cotton)

3 of 5 MORE ABOUT YOU

Thank you

for choosing to support Mind

With your support, we can make sure no one has to face a mental health problem alone.

We’ll send you everything you need, to make your event a success. It would help us if we understood why you are fundraising for Mind so we can offer you the best support during your event.

Please only apply if you are confident you can commit to raising the £1,995 as your sponsorship money is not only important to cover the cost of your place but also in allowing Mind to deliver their vital services. Due to the popularity of this event, please complete this form in as much detail as possible, with information that will support your application. Completing this application form does not guarantee you a place on the event. Please submit one application form per person.

4 of 5 TERMS AND CONDITIONS

London to Amsterdam Cycle Terms and Conditions

I understand that if my application is successful I will need to pay a non-refundable registration fee of £150 which will be paid directly to the organisers. I understand that I must raise £650 by 15 April 2019 to meet the 1st fundraising deadline. I understand if I do not raise this I will not be able to take part in the event. I understand I must then raise £1,250 by 3 June 2019 to meet the 2nd fundraising deadline. I agree to keep Mind up to date with my fundraising progress. I understand that my full minimum sponsorship target of £1,995 is due one month after the event.

I understand that if I am unable to take part in the event, all monies paid to Mind by this time may be non-refundable and will be treated as a donation. I understand that all funds raised will support the work of National Mind, registered charity number 219830. I understand that Mind may terminate my right to raise funds at any time. I agree to inform the Mind fundraising team immediately if I am unable to take part in the event. I understand that if I am unable to take part in this event it may not be possible to transfer my place to future events. Mind reserves the right to use any images taken on the day in promotional materials.

5 of 5 KEEPING IN TOUCH

When you have registered for this event, we’ll be in touch to share motivational tips, information on what your fundraising will achieve and to keep you updated about the event throughout.

Of course we would love you to stay in touch after your event too but it's up to you how you want to hear from us and you can change your choices at any time.

We will contact you about events and fundraising for Mind, our campaigns and the many ways you can shape our work - or you can choose just the areas that mean the most to you by ticking the box below.

You can find out more about how we look after your details by reading our Privacy Policy.

Your privacy

We take your privacy seriously and promise to never sell your data. You can find out more about your rights, how we use your personal information and how we keep your details safe and secure by reading our Privacy Policy. For more information, to update your choices or to stop us sending you updates, contact our Supporter Relations team at [email protected] or on 020 8215 2243.

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