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* 1. Please enter your full name.

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* 3. Please provide your contact number.

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* 4. Which days are you available to volunteer? (we will only ask you to volunteer on one day)

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* 5. What time of day are you available to volunteer? We will contact you to confirm an exact time slot that suits you.

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* 6. What location suits you? Select all/any that apply.

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* 7. Please let us know if you have any personal connection to your local hospice.

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* 8. Please let us know if you have any other comments to add to the above info (i.e. - if you wish to clarify availability)

Thank you so much for your support of Wicklow Hospice - we are incredibly grateful for any time you can give to this important fundraiser.
We hope to reply to you within 2 working days.
Please contact Allison Ryder at Wicklow Hospice on 087 4146363 or email aryder@olh.ie if you need any additional information.

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