Mercy Stars Nomination Form

Your Nomination

Note: These are the details of the person/group/team that you are nominating.

Your Contact Details
Eg. +353 87 1234567 or +353 21 7654321

If you are not MUH staff please provide your home postal address:

Nomination Summary

Would you like to be kept up to date about the fundraising appeals of the Mercy Hospital Foundation? Tick or untick the boxes as you wish.

(we can send you our monthly e-zine with updates, stories and more)
(we have just two mail campaigns a year)
(we will never phone you more than three times a year)

(please note, you can contact us to change your communication settings by ringing 021-4274076, emailing or writing to 26 Henry St, Cork. Our full Data Protection policy is available by clicking here)