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Register a Fundraising

Fundraising Activity Form

Please complete and return this part of the form to the Fundraising Office as soon as possible.

If we don’t have a completed form we don’t know you’re doing the activity! You must only use our official sponsor forms – you cannot design your own.

Contact Details

Title and Name(*)
Please type your title.

Address(*)
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City(*)
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Post Code(*)
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Phone (Daytime)
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Phone (Evening)
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Phone (Mobile)
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E-mail(*)
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Fundraising Activity

Activity Title
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Date of Event
Please select a date of the event.

Start Time
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Address
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City
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Post Code
Please type your post code.

Ticket Price/Entry Fee (€)
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Pay on the Door
Please specify your position in the company

Ticket Sources
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Entertainment
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Catering
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Fundraising
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Marketing Materials

Posters A4
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Flyer/Booking Forms A5
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Tickets
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Collection Buckets
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T-Shirt
Please select a size.

Sponsor Forms
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Publicising Your Event

Local Media

Online Sponsorship

Additional Information

Additional Information
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Anti-Spam Filter

Anti-spam
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Contact Us

  • Mayo Roscommon Hospice Foundation
    Administration Office, Main Street, Knock, County Mayo, Ireland
    Charitable Status No.: 10980
  • Phone: + 353 (0) 94 9388666 | E mail: admin@hospice.ie