Northern Ireland Chest Heart & Stroke
Register Your Fundraising Event



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Contact Number

Email Address

What are your reasons for raising funds for NICHS?

Date of Event

Type of event

If you have selected "other" please specify:

How did you hear about this type of fundraising event?

Are you hosting this event at work?

Would you like to receive information about NICHS's work from time to time?


***By submitting this form you agree to the NICHS 'Terms and Conditions' as listed below.***

1. I understand that NICHS will, in no way, be liable for any claim any injury or loss that might occur as a result of this event.*

2. I agree to send all proceeds of the event to NICHS as quickly as possible after the event.*

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