Registration

 
Title:
First Name:
Surname:
Address:
Town/City:
County:
Postcode:
Telephone:
Mobile:
E-Mail:
Please indicate the walk you wish to take part in:
Northern Ireland Hospice T-shirts
Please ensure that you have paid your £25 registration fee before registering for the Mournes Mountain Trek. Payment can be made online here, via post or telephone.

Oops, how embarrassing, our online payment system seems to be feeling a bit under the weather. Please contact us on 02890 777123 to organise payment for the Mournes Challenge Walk.
If you wish to purchase a hospice t-shirt for your chosen walk contact us on 02890 777123 or email laura.gray@nihospice.org stating the number and size of t-shirts you require. Please note t-shirts come in small, medium, large and extra large and cost £5 each.
I am a UK taxpayer and wish NI Hospice to claim back the tax on all my allowable donations for previous years. (You will need to have paid equal tax to the 25% NI Hospice will claim)
As a supporter of Northern Ireland Hospice , we like to keep you informed about our work and our trading company. If you do not wish to receive further Hospice information, please tick the box.

I want to receive my registration pack (sponsor form, map & letter) via post

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Northern Ireland Hospice is grateful to the following companies for their generous support of the 2010 Big Walk Week.

Sponsors web solutions ni Kilwaughter Chemical Company Ltd Creightons Finaghy Quinn Direct

Northern Ireland Hospice, Head Office, 18 O’Neill Road, Newtownabbey, BT36 6WB | Tel: (028) 90 777 123 |
Email: enquiries@hospicewalk.com

WEB SOLUTIONS NI