Christmas Appeal Form

Please do not use any special charactors. Only enter numbers from 1-9
Please enter only letters (A-Z a-z) or numbers (0-9) Special Characters (:<>/%#&?',) cannot be processed
Eircode (your Eircode has 7 characters)

Would you like us to keep you updated about the fundraising appeals of the Mercy Hospital Foundation? Tick or untick the boxes as you wish.

(we have just two mail campaigns a year)
(we will not phone you more than three times a year)
(we can send you our monthly e-zine with updates, stories and more)

(please note, you can contact us to change your communication settings by ringing 021-4274076, emailing christine@mercyhospitalfoundation.ie or writing to 4 Washington Street West, Cork. Our full data protection/privacy policy is available by clicking here)