Action Medical Research

subtitle: Funding medical research, saving lives for 70 years

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Word Order Form

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Work Order Form

Published on 19 August 2025

Updated: 19 August 2025

Work Order Form

Order details

Email

Email (required)

Used for coordinating order production

Confirm email (required)

Telephone no. (required)

Type of publicity material(s) required

Ordered by (required)

Date of order (required)

Date required (required)

Please allow minimum 3 weeks

Name of the Event or Project (required)

Is this order on behalf of a committee

Yes

No

Commitee name

----------

Required materials

Type of publicity material(s) required

__

Leaflet

Leaflet size

Leaflet: Various size (specify)

Leaflet quantity (if printing)

__

Poster

Poster size

Poster: Various size (specify)

Poster quantity (if printing)

__

Ticket

Ticket size

Ticket: Various size (specify)

Ticket quantity (if printing)

__

Programme

Programme size

Programme: Various size (specify)

Programme quantity (if printing)

__

Other (please specify)

Other material (please specify)

Size

Various size (specify)

Quantity (if printing)

----------

Electronic version

Do you require an electronic version of the material?

Yes

No

Which material do you require an electronic version of?

Which material(s) do you require in electronic format?

Leaflet

Poster

Ticket

Programme

Medal

Banner

Name badge

Other material

----------

Instructions/content

Is this a repeat order from previous year/event?

Yes

No

Please supply details of what needs to change

Upload relevant image(s)

If supplying a logo(s) please provide the highest quality files available

One file only.
100 MB limit.
Allowed types: gif jpg jpeg png bmp svg tif psd eps ai pdf doc docx ppt pptx xls xlsx rar zip.

More information to be supplied (eg full brief, logo files, photo files)

Yes

No

What is the aim of your material(s)?

Who is the audience?

Upload files

Please upload any additional documents, photos, etc.

One file only.
100 MB limit.
Allowed types: gif jpg jpeg png bmp svg tif psd eps ai pdf doc docx ppt pptx xls xlsx rar zip.

Send the order to me (if printed)?

Yes

No, send it to someone else

Not applicable

Delivery Address

Recipient name

Find address...

Start typing the first line of the address or postcode, or enter manually below.

Address

Address line 2

Address line 3

City/Town

County

Postcode

Country

----------

Supporter information

Do you need to ask for people’s personal information (such as address, email, telephone number)?

Yes

No

Collected supporter data

What data do you need to collect?

First name

Surname

Postal address

Email

Telephone

Other (please specify)

Do you want to contact these people again in the future?

Yes

No, I don’t want to contact them again

No, I only need to contact them to send the ticket/information to them

What do you want to tell them about?

To tell them about this event in the future

To tell them about another Action event in the future

To tell them about something different

Other (please specify)

Do you need to store this personal information?

Yes

No

How will you store this personal information?

On your computer as a list

I will send the data to Action and delete it from my computer

Other (please specify)

Privacy

We will only use the details you provide in this form to manage your request for design/print support.

Leave this field blank

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Small Print

Registered charity in England & Wales (208701) and in Scotland (SC039284).

Action Medical Research, 5th Floor, 167-169 Great Portland Street, London, W1W 5PF, United Kingdom
T 01403 210406 E info@action.org.uk

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