Member Nomination

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Member Nomination

To sign up, please enter your details below.. Fields marked with * are mandatory and have to be filled in.

Personal Information

Title ^*

First Name ^*

Last Name ^*

Email Address ^*

Confirm Email Address ^*

Select Password (minimum 4 characters) ^*

Confirm Password ^*

Daytime Telephone Number ^*

Contact Mobile

Date of Birth ^*

Gender ^*
Male Female
Address Line 1 ^*

Address Line 2

Address Line 3

City ^*

Postcode ^*

Country ^*
Local Area ^*

In order that we can effectively plan where we hold our safety briefings and sales presentations it is useful to know what area is most convenient for you get to.

T-Shirt Size ^*

We hope to be able to sell or supply as fundraising incentives t-shirts for 2010. At this stage we can't confirm their status, however it would be very useful information to know your preferred size.

Work Information

Job Title

Company

Address line 1

Address line 2

Address line 3

City

Postcode

Country
Check this box if your employer has a matched funding policy

Additional Information

We welcome all-comers but it is useful to know experience levels.

Have you participated in this event previously? ^* Yes No
If yes, which year(s)?

Have you competed in other events? If yes, please detail below

I would like to attend an Essential Safety Briefing

Please select one or more briefings from the table below:

Date	Town	Central Venue
13/01/2010	Edinburgh	SCF (Events) Ltd Offices
14/01/2010	Glasgow	SCF Offices, Glasgow
20/01/2010	London	MIC Conference Centre, Euston Sq
04/02/2010	Edinburgh	SCF (Events) Ltd Offices
TBC	My Town/City	Please contact me about arranging a briefing at my workplace or social group
TBC	n/a	None of the above. Someone else will represent my team at a briefing

Promo Code

Code

If you have a promotional code, please enter it in the box below. Your discounts will be shown on the payment screen.

Data Protection/Marketing Consents

Throughout your participation in this event, SCF (Events) Ltd and the Scottish Community Foundation will need to keep you informed of their latest activities, including via telephone and email. By supplying the above information you consent to this information service. Once your participation in this event has ended, you may unsubscribe at any time by amending your details online or by emailing "unsubscribe" to info@caledonianchallenge.com.

In addition, we are occasionally approached by third parties who would like to inform our participants of various offers. Where we believe these goods or services represent good value and that they could enhance your experience of the event, we would like to make you aware of these offers. Please indicate that you would like to hear from such trusted third parties, on a one-off basis, by ticking the box below. You may unsubscribe at any time by amending your details online or by emailing "unsubscribe" to info@caledonianchallenge.com.

YES! I want to receive occasional special offers by trusted third parties

Terms and Conditions

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The Caledonian Challenge 2010

Member Nomination

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Personal Information

Work Information

Additional Information

Promo Code

Data Protection/Marketing Consents

Terms and Conditions