Bake a Difference | Muscular Dystrophy UK

Your Details

Title *

First Name *

Last Name *

Email *

Phone Number *

What will be your age on the day of your event? *

Gender

By providing us with your contact details, we will contact you about Bake a Difference with important event information and support. We will not send you any other marketing by email, text or phone unless you have previously opted in, or you have ticked the 'keep in touch' boxes at the bottom of this form.

Your event

Where will you hold your Bake a Diffrence? *

Are you taking part in support of an MDUK Family Fund? *

Yes No

Your Address

Address Line One *

Address Line Two

Town/City *

County

Postcode *

Country *

Would you like your free Bake a Difference pack full of tips, materials and ideas posted? *

About you

By telling us more about you, we can ensure that the support you get before, during and after the event is tailored to you and your needs.

Please can you share who has a muscle-wasting condition? *

I have a condition

A friend/family member has a condition

I am a carer or PA

Other

How did you hear about Bake a Difference? *

Keep invoved

We'd love to share updates with you about MDUK's work, opportunities to take part in events and other ways to help beat muscle-wasting conditions. Please let us know below how you would like to stay involved.

Text

Telephone

Post

Stay in control of your details

We will never share your details with anyone. We will only contact you in the ways that you wish, making use of the information you’ve told us and publicly available information. We want to make sure what we communicate with you is relevant to your interests. Our privacy policy is available on our website or by phoning 0300 012 0172.

Donations

This event is FREE to take part in but if you requested a physical pack your donation can help to cover the cost of printing and postage and can help us fund groundbreaking research and life changing support.

Choose an amount:

�5

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�20

Other (�)

No Donation

Gift Aid Declaration:

* I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax in the current tax year than the amount of Gift Aid claimed on all my donations it is my responsibility to pay any difference.