Register for a place with Team Traidcraft in the BUPA Great North Run

By submitting this form you are confirming your application for one of Team Traidcraft's guaranteed entries in the 2012 Great North Run.

Once you have submitted your application the next step is to pay your entry fee of £48 within 5 working days. Please call 0191 497 6445 to pay your entry fee by credit or debit card, or please send a cheque made out to Traidcraft Exchange: to Great North Run, Traidcraft, Freepost NT972, Kingsway, Gateshead, Tyne & Wear, NE11 9BR.

Your application will only be confirmed when you have paid the entry fee. We look forward to you joining Team Traidcraft!

Personal Details
	Title *
	First name *
	Surname *
	Email *
	Address line 1 *
	Address line 2
	Town/City *
	Postcode *
	Daytime phone number *
	Date of Birth (date:month:year) *
The run is only available to enter for those aged 17 or over on the day of the race.
	How did you find out about doing an event for Traidcraft?
	If other, please specify
	T-Shirt Size *
	Please let us know if you have a story that journalists may be interested in, e.g. your reason for running, taking part as a team, running in fancy dress etc
	Declaration: By taking a place with Team Traidcraft we ask that you pledge to raise a minimum of £250 in sponsorship money for Traidcraft Exchange. Please tick to acknowledge you agree to this. *
	Traidcraft can sometimes benefit by allowing like-minded organisations to contact you. If you would prefer not to hear from them, please tick this box.
In order to confirm this place you now need to call 0191 497 6445 to pay by credit/debit card an entry fee of £48 or send a cheque made out to Traidcraft Exchange: to Great North Run, Traidcraft, Freepost NT972, Kingsway, Gateshead, Tyne & Wear, NE11 9BR. Please do so within 5 working days to guarantee your place.
	Please indicate how you intend to pay your entry fee *	Credit/Debit card Cheque

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