Friends of Wexford General Hospital - Cancer Day Unit Appeal

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FRIENDS OF WEXFORD GENERAL HOSPITAL - CANCER DAY UNIT APPEAL

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Friends of Wexford General Hospital
C/o Wexford Hospital
Newtown Road, Wexford
Email:
info@friendsofwexfordhospital.ie

How can you help?
....Organise a Fund Raising Event
FUNDRAISING REGISTRATION FORM
Please fill out the form below or alternatively you can print a page here

CONTACT NAMES:
Please provide two contact names (principle organisers)

Name:

Address:

Phone & Mobile:

Name:

Address:

Phone & Mobile:

Proposed Fundraising Idea:

Location of Fundraising:

Proposed Date of Event:

Estimated Number of Participants Involved:

Fundraising Target

if applicable

Preferred Method of Money Transfer

Lodgement Direct to the Friends Bank Account

Official Presentation to a member of the Friends Group