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If you would like to have an organisation listed on the Wicklow Community Directory Website, simply fill in the form below and click Send. It is then sent to CASC and will be entered on the website as soon as possible.
Should the information given below change, please send an amendment email. Fill in the name of the organisation and the changes to be made only.
In both cases, you will receive an acknowledgement of its arrival.
This info will be available to the public on the website. It is the responsibility of each organisation to keep the info up to date.
Name of Org 1
Name of Org 2
Contact person
Position of contact
Address
Town
Phone
Mobile
Contact hours
Emergency / Helpline no.
Fax
Email
Website
What services/activities/training does your organisation provide?
Plus any other information of interest to the community
Description of organisation
What /where/when are those services provided?
--- (* Please fill as many as needed - 20 rows max.) ---
Service
Tel No. if different to above
Location
Time
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Facilities
Does your organisation have any facilities that you can make available to another group? ( eg. hall for activities, meeting rooms, photocopying, Internet use etc...)
Please outline the way(s) in which your service is accessible to people with disabilities. (eg. ramps, accessible toilet, Braille printing ... )
For Follow-up purposes only - not to be included on the website.
Date information given:
By Whom:
Tel:
email:
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If you need any help in completing this form or any further information about it,
please contact Eileen on 01 286 8266
