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APPLY FOR A GRANT FROM DCCF

Please note that any information you give us will be stored subject to and compliant with the new GDPR (General Data Protection Regulations) intended to protect your privacy. This means it will be:

Stored securely.
Current – we do not store historic data unless we are obliged to do so under other regulations.
Only used in ways to which you expressly give consent.
Will not be passed on to anyone without your permission, even within the charity.

If you would rather download and print the form, please download the PDF version

**Please complete the fields below (obligatory fields marked *):**

Surname*
Forename
Date of birth*
Date Format: DD slash MM slash YYYY
Gender*
Address Line 1*
Address Line 2
Town*
Postcode*
Preferred email Address*
Preferred telephone number(s)*
Name of GP*
Nature of illness*
To support your application please also provide, in your own words, the following information
Details, costs and why to be awarded?*
I give permission for the following to contact me*
- DCCF Trustees and Administration
- DCCF Public Relations Officer (see below)
- I would like to receive the e-newsletter
DCCF relies heavily on our beneficiaries to spread the word about what we do. If you would agree to our press team contacting you at a later date to report on your story, we would be extremely grateful. Please signify your willingness here: I am/am not happy to help the charity by sharing my DCCF story.
- Yes
- No
I give DCCF permission to store the information given here in compliance with GDPR*
- I give DCCF permission to store the information given here in compliance with GDPR
Signed (please give full name)*
Date*
Date Format: MM slash DD slash YYYY
How did you hear of DCCF?
NB. WE WILL NOT STORE PERSONAL DATA AFTER MAY 2018 WITHOUT UPDATED CONSENT UNLESS OBLIGED TO DO SO BY LAW

Postal address: DCCF, Slipway, 36 Dorset Lake Avenue, Poole BH14 8JD
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Dorset Cancer Care Foundation @dorsetcancer·

May 22, 2019

A special mention to our sponsor Manish Chitnus Dental Concept for the Welcome Drinks. Thanks also to Fox Tailoring - The complete tailoring service and Jacqui Rock for presenting the menswear.

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Dorset Cancer Care Foundation @dorsetcancer·

May 22, 2019

Huge thanks and congratulations to everyone involved in last week’s Fashion Show at Dudsbury Golf Club which raised a whopping £884. 👗.
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And of course this wouldn’t be possible without all the people who came along to support the event! ❤️

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Dorset Cancer Care Foundation @dorsetcancer·

May 20, 2019

💥 Dorset Cancer Care Foundation needs you! 💥
.
We are looking for participants to enter Tough Mudder to raise money for DCCF.
.
Contact Nikki Davies-Thomas on 07593890879 or admin@dccf.co.uk for further details.

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APPLY FOR A GRANT FROM DCCF

Please complete the fields below (obligatory fields marked *):

To support your application please also provide, in your own words, the following information

NB. WE WILL NOT STORE PERSONAL DATA AFTER MAY 2018 WITHOUT UPDATED CONSENT UNLESS OBLIGED TO DO SO BY LAW

Postal address: DCCF, Slipway, 36 Dorset Lake Avenue, Poole BH14 8JD

**Please complete the fields below (obligatory fields marked *):**