Donate to Danny Crowley Christmas Swim

Donation Amount

Title *

First Name *

Surname *

E-Mail *

E-Mail Again *

Phone *

Eg. +353 87 1234567 or +353 21 7654321

Address Line 1 *

Please enter only letters (A-Z a-z) or numbers (0-9) Special Characters (:<>/%#&?',) cannot be processed

Address Line 2 *

Address Line 3

Town/City *

County *

Eircode

Eircode (your Eircode has 7 characters)

Country *

Work of the Mercy

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.

I'd like to be updated by post *

(we have just two mail campaigns a year)

Yes

I'd like to be updated by phone *

(we will not phone you more than three times a year)

Yes

I'd like to be updated by e-mail *

(we can send you our monthly e-zine with updates, stories and more)

Yes

You have ticked NO to all communications. If you would like to receive our annual Newsletter in the post please tick your choice below *

Yes, I am happy to receive only the annual Newsletter in the post

No, I do not want to receive any communications at all from The Mercy Hospital Foundation

(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)

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