Tell us about your fundraising

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?

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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

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