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One Universe One Planet – Charity Single 2020

Nominate a Charity

To nominate a charity as a beneficiary for the Charity Single, please complete the details below.

Your Name*
First Last
Your Email*
Enter Email Confirm Email
Charity Name*
Charity Contact Name
First Last
Charity Address
Street Address Address Line 2 City ZIP / Postal Code
Charity Phone*
Charity Email*
Enter Email Confirm Email
Charity Website*
Charity Registration Number*
Charity patron (if known)
Is the charity aware they are being nominated and we are making contact ?*
- Yes
- No
Any other info / are you linked to the charity in any way ?
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Name
This field is for validation purposes and should be left unchanged.

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