Fundraising Event Registration Form

Fundraising Event Registration Form

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Comments

This field is for validation purposes and should be left unchanged.

Name*

First Last

Email*

Phone*

Address

Street Address Address Line 2 City County Eircode Country

Fundraising Event Details

Which house are you fundraising for?*

Event Details*

Thank you so much for expressing an interest in holding a fundraising event for Cuan Mhuire. Can you tell us about your event?

Date of Event

Location of Event

How much do you hope to raise?

How did you heard about Cuan Mhuire?

Consent to Contact

Please tick if you are happy to stay in contact by

Email

Phone

Post