Order a collection pot

Please note that collection pots are usually dispatched via 2nd class post.

"*" indicates required fields

Name

Address

Email*

Telephone number

Address of where the tin will be located

Date the tin will be located there from

Reason for supporting ECHO

Your t-shirt size

If you are under 18 please add your Date of Birth and ask a parent / guardian to confirm they are happy for you to fundraise for ECHO and for us to be in contact with you as you choose below by asking them to sign:

Parent / Guardian permission if supporter is under 18:*

I confirm

Date of birth of individual who is under 18

When you send us photos in connection with your fundraising, we might like to post them on our social media channels, eNews, magazine or other marketing materials to raise awareness and inspire others. Please let us know your preference below by deleting as appropriate:*

Yes I am happy for ECHO to use my photos

No thank you, I’d rather you didn’t use my photos

Can we stay in touch by email?*

Yes please

No thank you

Please let us know your preference below by deleting as appropriate:

From time to time, ECHO would like to keep you informed about our fundraising, awareness and policy campaigns by email. Your details will only be used to communicate with you. We will always store your details securely and never give your information to other organisations to use for their own purposes. If you agree to be contacted this way, please tick all the boxes that apply below. Information will be used only to monitor and improve our services to you and will not be passed on to third parties. Please contact us to find out about your rights under the Data Protection Act 2018.

You can change your mind at any time, just let us know by emailing: hello@echo-uk.org

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