Irish Heart Foundation : Register

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Personal Details

First Name *

Last Name *

Email Address *

Password*

Mobile *

Staying in touch *

Are you happy to hear about other Irish Heart Foundation work and activities by phone and email?

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Postal address *

Please provide your address so we can send you your Doggie Bandana.

Postal Address

Address Line 1 *

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Town/Locality *

Eircode *

County

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Terms & Conditions

By submitting your information you are agreeing to us using your data to process your registration and fundraising for Walk 100Km with your Dog Challenge

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