Marathon Form

Title *

Name *

First Name Last Name

Email address *

example@example.com

Which London Marathon Option are you applying for?

October 4th 2020 April 25th 2021

Address

Street Address

Street Address Line 2

City County / State

Post Code Country

Telephone number *

Occupation

Employer

I understand an initial admin donation of £100 is required to secure my place and this is not refundable *

Yes, I understand

PLEASE CONFIRM YOU UNDERSTAND THE FUNDRAISING OBLIGATIONS TO SECURE YOUR GOLD BOND PLACE WITH APEC. APEC WILL HELP YOU AS MUCH AS WE CAN, PLEASE CONTACT US IF YOU NEED ANY FUNDRAISING ITEMS *

I will raise at least £2000 in sponsorship by 30 November 2020 for October runners I will raise at least £2000 in sponsorship by 31st May 2021 for new 2021 application I will stay in touch with APEC via email or telephone If requested, I will provide a clear fundraising plan

Date

How did you hear about our London Marathon places? *

APEC Newsletter Facebook Twitter Instagram YouTube Previous APEC runner Attended APEC event

Please tell us why you'd like to run the London Marathon for APEC: *

DO YOU HAVE ANY LINK OR ASSOCIATION WITH APEC? *

Please give details of any fundraising undertaken in the past: *

(Please include any amounts you've raised in the past.)

Please give details of how you plan to raise the minimum of £2000 sponsorship: (please give as much info as possible) *

Social Media is one of the best ways to help publicise your fundraising. Do you use Twitter, Facebook, Instagram or other social media? If so please provide us with your Tag (S) and follow us @apec_uk https://www.instagram.com/apec_uk/ *

what size Running vest would you like?

name you would like printed on your vest *

If successful in securing a Marathon place with APEC, would you be willing to be featured in pre and post marathon awareness raising for APEC? *

Yes No

I agree for photos of myself to be used by APEC in coverage of the London Marathon *

Yes No

I understand that if I am unable to run the 2021 marathon I will tell APEC before the 14th January 2021, as after that date no runners can be substituted. *

Yes, I understand I am applying to run in October 2020, I will tell APEC as soon as possible if I cannot run

Finally, WOULD YOU LIKE TO RECEIVE OUR monthly APEC E-NEWSLETTER? * *

Yes please No thank you