Fundraising Materials

We can provide you with materials you require for your event.

Simply fill out our event form where you can list all of your requirements or get in touch with the fundraising office on: 021 4869100 or email fundraising@marymount.ie.

MARYMOUNT FUNDRAISING THIRD PARTY REQUEST FORM

On behalf of Marymount University Hospital and Hospice, a very sincere thank you for your interest in raising funds to help support all who need Marymount’s services. Completing this form does not imply authorisation from Marymount to undertake this event on our behalf, when we have processed your form we will be in touch to authorise your event.

Please type the form below or print clearly and tick where appropriate.
Title
Firstname*
Surname*
Have you fundraised for Marymount before
- Yes
- No
If yes please detail:
Company / School / College / Community Group (if applicable)
Postal Address
Tel/Mobile*
Email*
From time to time we would like to contact you about our news and how your wonderful support has helped us. Please tick the below how you would like to be contacted (can be multiple options):
- Email
- Phone
- Post
- Do not contact
Event Name*
Event Details*
How do you plan on running your event (virtually, socially distanced, community event)
Date
DD dash MM dash YYYY
Time

: Hours

Minutes

AM/PM
Venue
Is your event in memory of someone? If so, kindly give name and details:
Fundraising Goal:
Can We Help? Yes, please detail quantity needed in the boxes below:
T-Shirts:
XS:
S:
M:
L:
XL:
XXL:
Sponsor Cards:
POSTERS:
A4
A3
STICKERS:
Collection Buckets:
(buckets must be collected from the office)
(*Please note there is a substantial cost to us to produce collection buckets & tshirts, please be mindful when ordering quantities. Please return all buckets and any unused tshirts after your event to Marymount, thank you)
PRIZES: If you are collecting prizes for your event, please ensure you email the fundraising department at fundraising@marymount.ie to inform us who has donated prizes. This is so that we know who has been asked on our behalf. We would really appreciate this.
Do you require a contactless donation machine for this event?
This must be collected and dropped back to Marymount in good time as we have a limited supply which needs to be tightly controlled.
Contactless?
- Hand-held flex machine (Any size event, requires no set up)
ANY OTHER CHARITIES/BENEFICIARIES: If yes please include clearly on any merchandise
PLEASE SHARE YOUR STORY (OPTIONAL): If you are fundraising for us because you have a particular reason why you have decided to raise funds for Marymount, please tell us. Your story can provide motivation and inspiration for others to do the same. If you are happy for your story to be published online and in our literature
(we will never publish your name without specifically requesting your permission)
- please tick this box
(we will never publish your name without specifically requesting your permission)
I AGREE TO COMPLY WITH ANY LEGAL REQUIREMENTS & OUR CONDITIONS FOR FUNDRAISING STATED HEREUNDER:
Any events taking place on behalf of Marymount must be fully compliant with the regulations and/or public health guidance in place on that particular date. This is essential to ensure the safety of all our supporters. Whether running a virtual or socially distanced event you be sure to adhere to the legal requirements for your event. For example, permits, licenses and insurance. If in doubt, please check with the fundraising team in Marymount.
Please type your name in the box to confirm you agree to the terms outlined above*
Date*
DD dash MM dash YYYY
CAPTCHA