Fundraising Activity Form

We required that all fundraising events are registered with us in advance – to get you started.....

Please complete and return this part of the form to our Fundraising Office as soon as possible.

If we don’t have a completed form we don’t know you’re doing the activity! You must only use our official sponsor forms – you may not  design your own.


Did you know we have Charity Boxes in various locations around Mullingar?
North Westmeath Hospice
To relieve often, but to comfort always
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