Cork City Marathon Registration Form

Register here for your Cork City Marathon pack

Title *

First Name *

Surname *

Email *

Email Again *

Address Line 1 *

Address Line 2

Address Line 3

Town/City *

County *

Country *

Phone *

Eg. +353 87 1234567 or +353 21 7654321

Where Did You Hear About The Event ? *

Will you be setting up an idonate.ie sponsorship page?

Yes

How many sponsorship cards would you like? (22 lines in each card) *

What size t-shirt would you like?

(If you have a Mercy t-shirt already we would request that you use that to keep costs down)

Work of the Mercy

Would you like us to keep you updated about the work of the Mercy? 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 only ever phone you if we think you’d be interested in an event/campaign)

Yes

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

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

Yes

If you would like to receive emails about this event only from The Mercy Foundation please tick your choice below *

Yes I am happy to receive emails about this particular event

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

Captcha *