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Cork Mini Marathon Registration Form (each participant should register individually)


PLEASE REGISTER WITH CORK MINI MARATHON ORGANISERS ALSO OR YOU WILL NOT BE ABLE TO TAKE PART


Title: (*)
First Name: (*)
Surname: (*)
Address Line 1: (*)
Address Line 2:
Address Line 3:
Town/City: (*)
County: (*)
Country (*):
Will you be setting up a fundraising page on mycharity.ie?
Phone: (*)
Email: (*)

Number of sponsorship cards needed (27 lines per card): (*)

* T-shirt Size:
How did you hear about the event:


Would you like us to keep you updated about the work of the Mercy?

Tick or untick the boxes as you wish.
I am happy to be kept updated by post
I am happy to be kept updated by phone
I am happy to be kept updated by SMS
I am happy to be kept updated by email


Mercy Hospital Foundation

Click here for a
full list of our fundraising events

 
 
 
 
 
 
 
Recycle in aid of the Mercy find out more here
 
 
 

 
 
 
Click here for info on our survival challenges
 
 
 
 
 
 
 
Click here for more Mini Marathon info
Mercy University Hospital Foundation, Unit 1 Millerd Hall,
Millerd Street, Cork Tel. 021 4274076

Registered Charity Number: CHY 17500
© Mercy Hospital Foundation 2010
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