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Party pack request form
Party pack request form
Party packs are now on the party scene so order your very own today and start planning your social calendar
Please fill in your details below to request your party pack.
First name
*
Surname
*
Rag/Group/University/Sixth Form
*
Graduation Date
*
Address line one
*
Address line two
Address line three
Town/City
*
Postcode
*
Email address
*
No. of people expected at the party
Where did you hear about the party pack?
Marie Curie student fundraising leaflet
Student E-newsletter
Marie Curie website
Recommendation
Local community fundraiser
Warwick Rag conference
Shine on
Other (please specify)
If other, how did you hear about the pack?
Message
To be kept up-to-date with all the latest news and updates from Marie Curie Cancer Care, please tick here to receive our student e-newsletter
We may contact you from time to time about fundraising and other activities that may be of interest to you. If you do not wish us contact you please tick this box