Vhi Women's Mini Marathon 2019

Contact Information

Country*
State / Province*
Address*
City*
*
*
*
*
*
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Email*
Confirm Email*
Mobile Phone No*
Vhi Registration Number (Entrant Number)

*Please note you must first register with the Vhi at www.vhiwomensminimarathon.ie to get your race number and entry for the day.  Online entries open 28th Feb.

How many Sponsorship Cards do you require?
Are you running as part of a team? If so, let us know the name of your team/team leader

Please indicate below which size running vest you require.  This will be sent out in your Mini-Marathon Pack together with a hat & sponsorship card(s).

Vest Size*
  • Size 6-8
  • Size 10-12
  • Size 14-16
  • Size 18 +
How did you hear about the Oesophageal Cancer Fund?*
  • Previous Lollipop Day Volunteer
  • Previous OCF Mini Marathon Participant
  • Lollipop Day 2018
  • Advertisement/Media
  • Facebook
  • OCF Website
  • Family member affected by Oesophageal Cancer
  • Other -please specify below

 

Thank you.  Your support will enable us to continue funding our Oesophageal Cancer Awareness Programme.

For further information please call 086 4542713 / 086 0697328 or email info@lollipopday.ie

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