Order a collection tin - Birmingham Hospice

Thank you for supporting Big Brum Bucket! Register below for one or more collection tins to put in your workplace or home to collect as much change as you can before Big Brum Bucket on 8th and 9th July!

Would you like a tin for your home or workplace?

If 'other', please state

First name(Required)

Surname(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email address(Required)

Telephone number(Required)

How did you hear about Big Brum Bucket?

If 'other', please state

How many collection tins do you need?(Required)

To save on postage, are you able to come and collect the tins from us?

Yes

By signing up to this campaign, you are consenting to receiving all information about this campaign. We would also like to keep in touch with you about our vital work and update you on our news and fundraising activities. Please tell us if you would be happy for us to contact you:

NOT by post

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