Open Day Interest Form

We’d like to say a BIG THANKS for being interested in supporting Roch Valley Radio and Fairfield General Hospital.

Please fill in the below questions to the best of your ability, if you are stuck please speak to a volunteer.

 

Your Name (required)

Your Email (required)

Contact Number (required)

Address (required)

Interested Role (required)

How did you hear about us?

Tell us About Yourself