Sign up for Time for a Cuppa

Fill in the form below and we’ll send you a free fundraising pack in the post and email updates about Time for a Cuppa. One pack will be sent per person/organisation.

If you have any special requests, please get in touch by emailing timeforacuppa@dementiauk.org or calling 020 8036 5380.

Your details
Title
Name*
First name Surname
Organisation name (if applicable)
Your address*
Address Line 1 Address Line 2 City Postcode
Your fundraising pack
We want to be more mindful of the materials we produce and build sustainable practices for our events. With this in mind, we are giving you the choice of receiving either a digital fundraising pack or a physical fundraising pack by post. Please let us know your preference below:
Email*
Phone
Are you over 18?*
- Yes
- No
Tell us about your event
What date is your event?
DD slash MM slash YYYY
How did you hear about the event?
Please tell us what best describes your connection to dementia*
Where are you hosting the event?*
Keeping you updated
It’s only with support from people like you that we can give more people affected by dementia the life-changing care that they need. We will update you via post on the huge difference you are making to families living with dementia and how you can support us in the future. If you would prefer not to hear from us, please let us know:
- No contact via post please
Please let us know if you’re also happy to hear from us
By email*
- Yes
- No
By text*
- Yes
- No
By telephone*
- Yes
- No
If you have previously subscribed to receive information from us, your answers above will update your settings. You can change how we contact you at any time by contacting our Supporter Care team on 0300 365 5500, email supportercare@dementiauk.org or update your preferences here.
Name
This field is for validation purposes and should be left unchanged.

Your details

Tell us about your event

Keeping you updated