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Pulmonary Hypertension Association (PHA) Ireland: Newsletter Sign-up

Thank you for your interest in PHA Ireland! Please fill out the form below to sign up for our emails. You'll receive regular updates on news, events, and opportunities to get involved with our community. The email address will pulmonaryhypertensionassociation@mater.ie.
Kind regards,
Ciara
1.I am signing up...(Required.)
2.First name(Required.)
3.Last name(Required.)
4.Email address(Required.)
5.Any information you provide will be kept securely and will be used by PHA Ireland to make your participation possible.

Do you consent to PHA Ireland storing your personal information for administrative purposes?(Required.)
6.We would like to update you via our newsletter, and with any breaking news, upcoming events and different ways you can get involved with us.

Do you consent to receive emails from PHA Ireland (updates, info, events, etc.)?(Required.)
7.Location: please select a county.(Required.)
8.Please enter your location (city/town or full address) (optional)
9.Phone number (optional)
10.If known, please select the type of pulmonary hypertension that you/ the person you are signing up on behalf of/ the person you care for have/has been diagnosed with:
If this question is not applicable to you, then please select "N/A".(Required.)
11.How many years have you/the person you're signing up on behalf of/the person you care for lived with pulmonary hypertension?
If this question is not applicable to you, then please type "N/A".(Required.)
12.How often do you/ the person you are signing up on behalf of/ the person you care for attend a pulmonary hypertension clinic?
If this question is not applicable to you, then please type "N/A".(Required.)
13.Do you have any ideas/ recommendations of how PHA Ireland could support you? (E.g. specific information/ events you would like, etc.)
14.Would you like to get involved with PHA Ireland, and if so, how?
15.Do you have any ideas/suggestions for fundraisers for PHA Ireland?
16.Research plays a vital role in advancing our understanding of pulmonary hypertension and improving diagnosis, treatment, and support for those affected.

Do you consent to be contacted for research purposes?
This response will not affect your newsletter sign-up or ability to engage with PHA Ireland.(Required.)
17.Enter here if you would like to include an alternative email address to be contacted by for research purposes)