NWRH Giving Day donation station sign up
Please fill out this form to be rostered for Giving Day donation station on 29 October, at the North West Regional Hospital.
Name
*
Prefix
First Name
Last Name
Email
*
example@example.com
Mobile number
*
Please enter a valid phone number.
Format: 0000-000-000.
Roster preference
*
9AM - 11AM
11AM - 1PM
1PM - 3PM
3PM - 5PM
Allocate me at anytime
I'd like to keep up to date on Clifford Craig Health Foundation fundraising appeals
Please Select
Yes
Not now please
Add me to the monthly eNews list for upcoming events, hospital projects and research news updates.
Please Select
Yes
Not now please
Confirm
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