The Lowe Syndrome Trust
2006 London Marathon - Contact us for a London Marathon application form
back London Marathon 23 April 2006
The charity has a number of application forms available - please note that these are ballot places not Guarenteed places.
The London Marathon charity allocation of places has been full for the last few years and new charities such as the Lowe Syndrome Trust are not allowed to be added to the allocation list, however we do have some ballot forms. The Trust relies on events such as he London Marathon to to raise funding for medical research. Therefore, we would ask that you contact us for a London Marathon application form in the hope of gaining a place and raising funds for this charity - we don't mind how much you raise, we are so grateful for any support.
The ballot opens Monday 1
August 2005 and you can also pick up application forms in Marathon News, a
free magazine published by Flora London Marathon. . For more information please call
the Flora Helpline 020 7902 0189 or visit the
Flora London Marathon website.
Please note that the ballot shuts on Friday 21 October 2005.
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Email: lowetrust@homechoice.co.uk Web www.lowetrust.com
1. Personal Details:
Name: ____________________________________________________________________________________
Address: ____________________________________________________________________________________
Post Code: ________________
Telephone Numbers: Home: ___________________ Work: __________________ Mobile: ______________
Email address: _________________________________
Date of Birth: __________________________________
Employer: ___________________________________________________________________________________
Have you run a marathon before? Yes __ No __
If yes, what was your finishing time: _______________________________________________
Are you affiliated to a UK Athletic / Running Club? Yes __ No __
If yes please state which: _______________________________________________________
Why do you want to run for The Lowe Charity?
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Most charities offer their marathon places to those who can raise a minimum of £1,000. The Lowe Charity allocates its places based on a variety of factors, fundraising ability being one of them.
How much sponsorship money do you realistically believe you will raise?
£__________.__________
Please detail how you intend to reach your sponsorship target __________________________
Do you want charity to set up a web page justgiving.com? see example http://www.justgiving.com/twocastlesrun4.
If you know anybody who may also like to run the London Marathon please provide their details and we’ll get in touch.
Name ______________________________________________________________________
Address_____________________________________________________________________
If I am allocated a 2006 London Marathon place through the Lowe charity I pledge to raise the sponsorship amount detailed in section 3 for The Lowe Syndrome Trust.
Signed ______________________ Date _______________
Please complete this form, and return it by 28 August 2005 to:
Lowe Syndrome Trust 77 West Heath Road London NW3 7TH
Email: lowetrust@homechoice.co.uk Web www.lowetrust.com