Fundraiser form

Your Name
Address
What's your connection to cardiomyopathy?
What kind of fundraising are you doing?
Would you be interested in sharing your story to support and inspire others?
This could be in our My Life magazine, on social media or as part of one of our campaigns.
Would you like to receive email updates from us about the latest support and information for people affected by cardiomyopathy, our campaigns, research and ways to get involved?