Banger Rally Challenge 2022Request a free charity placeIf you would like a free charity place for this event please complete your details below and we will send you an application form. Your contact details Please can you give us your full details and complete all fields marked with * Title - Select -MrMrsMsMissDrProfRev First name Last name Email Daytime tel Address line 1 Address line 2 Address line 3 Town/City County Postcode Your contact preferences Children’s Hospice South West would like to keep you updated with news about our hospices, fundraising activities and campaigns and other ways you can help make a difference to short and precious lives. Please let us know below how you would like us to contact you. If you change your mind in the future, you can opt out at any time. I confirm I am over 18: Yes No Please confirm if you are happy for us to contact you by: email: Yes No post: Yes No phone: Yes No Your privacy Privacy PolicyWe take your privacy seriously. For full details about how we store, protect, share and use your personal data, please see our Privacy Policy. Leave this field blank