Home > You can help > Fundraise in your community > The £1,000 challenge

Become a £1,000 Challenger

Your details

Title: *

First Name: *

Last Name: *

Address line 1: *

Address line 2:

Address line 3:

Town / City: *

County:

Country:

Post Code: *

Telephone:

E-mail address: *

Date of birth (dd-mm-yyyy format): *

Keep in touch

We may contact you in future (including by telephone) to keep you informed about Breakthrough Breast Cancer’s work and/or fundraising as well as the activities of our trading subsidiaries.. If you would prefer not to receive these communications, please tick this box.

Please tick the boxes below if you are happy for us to send communications:

By email

By SMS / Text message

We may agree with carefully selected organisations to write to each other’s contacts. If you wish to be excluded from these exchanges, please tick this box.

Other information

How did you find out about the £1,000 Challenge?:

Have you been involved with Breakthrough Breast Cancer before?:

Yes

I want a future free from the fear of breast cancer. I want to become a £1,000 Challenger. I am taking up the £1,000 Challenge

in honour of:

© Breakthrough Breast Cancer is a charity registered in England & Wales (No. 1062636) and Scotland (No. SC039058).
Company limited by guarantee registered in England & Wales (No. 2848982).

Site by Torchbox