If you are human, leave this field blank.Email *Tick if you are happy for us to use your email to keep you up-to-date on NRH Foundation activities and how fundraisers like you are making a difference to the NRH, through our electronic newsletter. *YesNoFull Name *Address 1 *Town / City *County *Eircode *T-Size *SmallMediumLargeX-LargeXX-LargeHow did you hear about the NRH Foundation? *PatientPatient FamilyPatient FriendPrevious ParticipantNRH Foundation WebsiteHospital PostersEmail / EzineWord of MouthOtherWhat is your fundraising event? *Have you set up you online fundraising page? *YesNot YetWhy are you taking part for the NRH Foundation? *To set up your very own online fundraising page go to the drop down menu on our website and select "Get Involved" > "Start Fundraising" > "Set up a fundraising page"SendreCAPTCHA is required.
