London Marathon Charity Place Payment Form

"*" indicates required fields

This field is for validation purposes and should be left unchanged.
Please only complete this form if a member of the NHS Lothian Charity team has contacted you to confirm that you’ve been successful in receiving one of our two TCS London Marathon charity places.
Your Name*
Your Email Address*
Your Address*
Start to type in the full first line of your address including house number. Ensure that Street Address, City, Local Authority/County, Postcode and Country are completed
T-shirt size*
Terms and Conditions*
Before submitting this form, please ensure you have read and understood our Fundraising Event Terms and Conditions.

This is the amount that will be charged to your card.

NHS Lothian Charity does not collect payments directly and at no time collects or stores card details. Our website payment process is completed on a secure site provided by a third party – Stripe.

When you submit your transaction for processing you confirm your acceptance of Stripe’s Privacy Policy and Terms

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