* Title << select >> Mr Mrs Miss Ms Other (Please specify)  

(other title)

* First name  

* Surname  

Company or group name (if applicable)  

* House Number or name  

* Postcode

I live outside the UK  

To save money we do not send fundraising packs abroad.
If you cannot donwload the materials you need please contact us to request a pack.

I expect << select >> 1 - 10 11 - 25 26 - 50 51+ guests

I'll be having coffee at << select >> Home Work School Community Don't Know Other (please specify)

Other venue

Do you wish to open your coffee morning up to the general public?

Yes

No

If yes, your details may be passed to the local press and radio by Macmillan for publicity purposes, or Macmillan may post your details on this website.

Would you like your details used in this way?

Yes

No

Would you be happy for Macmillan to call you?

Yes

No

Would you be happy for Macmillan to email you?

Yes

No

If yes, my email address is

Preferred method of communication Any Email Phone Mail

Macmillan Cancer Support and our trading companies would like to hold your details in order to contact you about our fundraising, campaigning and services for people affected by cancer.

If you are happy for us to contact you about other ways to support us, please tick here.

We do not sell or swap your details with any third parties, but in order to carry out our work we may need to pass your details to service companies authorised to act on our behalf. Find out more about how we use your details.