Please complete the form below and we will contact you regarding your enquiry.

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Organiser Details:

First Name:*

Last Name:*

Address:

Email:*

Phone*

Accounts/Invoice Details

Contact Name:

Invoice Address

Phone Number

Email

Event Details

Event Title*

Event Date (or first day if multiple)*

Event Times (use 24H clock and include time for crews to be in place, event start and event finish)

Event Location & Directions from Limerick City

Event Description (include nature of event, types of activities, etc)

First Aid/Ambulance (include number of road/off-road ambulances plus crews and any additional first aiders required)

Will any of the following be at your event?

Doctor
Nurse
HSE Ambulance
Rescue Services
Other

Will meals be provided for Irish Red Cross Crews? If yes, give details.

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