Win a Wedding Competition
St Elizabeth Hospice
Application Form
Personal Details
Entrant 1
Name: ____________________________________________________________________________
Day telephone: ______________________________________________________________________
Evening telephone: _______________________________ Mobile: _____________________________
Email address:_______________________________________________________________________
Address: ___________________________________________________________________________
___________________________________________
Postcode: ___________________________
Entrant 2
Name: ____________________________________________________________________________
Day telephone: ______________________________________________________________________
Evening telephone: _______________________________ Mobile: _____________________________
Email address:_______________________________________________________________________
Address: ___________________________________________________________________________
___________________________________________
Postcode: ___________________________
If you live at a different address from above please state below
By ticking this box you are declaring that you are both over the age of 18 years old
upon entering this competition
Please tell us your story eg. How you met, how long you have been together etc:
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
What fundraising do you plan to undertake? Please be as creative as possible (continue on a separate piece of
paper if necessary):
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Why do you want to raise funds for St Elizabeth Hospice? (please give full details)
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Have you raised money for St Elizabeth Hospice before? (please give full details)
_______________________________________________________________________________
_______________________________________________________________________________
________________________________________________________________________________
Why should you win a wedding? (Continue on a separate piece of paper if necessary):
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
Employers Details
Entrant 1 Company name: ____________________________ Type of Business: _____________________
Address: ________________________________________________________________________________
No. of employees: ___________ Job Title: _____________________________________________________
Will your employer sponsor you?
Does your company provide Matched Giving?
Yes
Yes
No
No
Entrant 2 Company name: ____________________________ Type of Business: ______________________
Address: ________________________________________________________________________________
No. of employees: ___________ Job Title: _____________________________________________________`
Will your employer sponsor you?
Does your company provide Matched Giving?
Yes
Yes
No
No
Entry Confirmation

If you get as far as the semi-finals or the final, you agree to fundraise for St Elizabeth Hospice alone
and understand that there are deadlines set to adhere to.

You and your partner agree to have the information you have given to be added to St Elizabeth
Hospice’s Website, Facebook and event pages for public viewing. No personal contact details will be
shared.

You and your partner agree to have the information you have given to be shared with the local press
and media for public viewing. No personal contact details will be shared.

I give permission to St Elizabeth Hospice to use any photographs and videos taken of us to raise
awareness and fundraising for the hospice’s work.

Entries will only be accepted if your application is handed in to St Elizabeth Hospice fundraising team
by 5pm on 19 May 2016

You will need to email a photo of you both to [email protected] along with both
names. It will be used on the hospice’s Facebook page and possibly in the press.

You have both read and understood the competitions terms and conditions
Yes
No
Signed Entrant 1 ______________________________
Date ______________________________
Signed Entrant 2 ______________________________
Date ______________________________
Please send your application to:
St Elizabeth Hospice, Events and Challenges Team, Win a Wedding Competition, 565 Foxhall Road,
Ipswich, IP3 8LX