Community fundraising form

Date of birth

Please enter your date of birth

If other, please specify

Please tell us about your activity

Date of your event (if known)

How much do you hope to raise?

Please enter an amount

If you have set up an online giving page (JustGiving, Virgin Money Giving or similar), please include the URL (web address) here:

We would like to tailor our communications with you to ensure they are relevant to your interests.

What is your connection with autism? (Please tick all that apply.)

I am autistic

I am a parent/guardian of someone who is autistic

Someone in my family is autistic

I know someone who is autistic

I am a professional working in the field of autism

I have another connection with autism

I have no connection with autism

Prefer not to say

The National Autistic Society would like to keep in touch with you about our services, support, events, campaigns and fundraising.

We’ll only contact you in the ways you want, and we’ll keep your data safe. (See privacy policy for further details.)

To update your permissions, contact us on 0808 800 1050 or at supportercare@nas.org.uk

I agree to the National Autistic Society contacting me in the following ways:

Post

Telephone

SMS text

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Tell us about your fundraising