Request a collection pot

If you are a business, club or organisation and would like to save lives across London by hosting a collection pot, please fill in the form below and one of our community team will be in touch.

If you would like collection pots for a funeral collection or event, please DO NOT use this form and instead contact [email protected]

First name

Last name

Business or club name

Email

Mobile

Address

Address 2

City/Town

County

Post Code

Keep in touch

Your support helps us to save lives we’d love to keep you updated with our latest new, fundraising activities, events and appeals.

I'm happy to be contacted by email

Yes, please

No, sorry

I'm happy to be contacted by phone

Yes, please

No, sorry

We may also contact you by post. If you do not wish to hear from us, or have a preferred contact method, simply let our friendly Supporter Care team know by calling 020 3023 3319 or emailing [email protected]

*Please see our Privacy Statement for details of how we will use your personal information and keep it safe and secure.

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If you have any questions or cannot complete the form, you can call email us at [email protected] or call 0203 023 3300.