Dementia UK : Register

Personal Details

Enter your details to get your free t-shirt and fundraising page.

First Name *

Last Name *

Email Address *

Password*

Phone Number

Shirt Size *

Postal Address *

(enter manually)

Address Line 1 *

Address Line 2

Town/City *

Postcode *

County

Country *

Set your Fundraising Goal

£175

£250

£375

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Stay in touch?

Please let us know if you would like to hear from us about the huge difference you are making to families living with dementia and how you can support us in the future:

Email

Phone

SMS

Post

By registering for the challenge, you agree to Dementia UK Terms and Conditions. For information about how we use and protect your data please see our privacy notice. If at any time you would like to stop receiving communications from Dementia UK, or make any changes to how we contact you, please email supportercare@dementiauk.org or call us on 0300 365 5500.

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