Our contacts

Phone:

(+373) 79266407

Email:

info@hospicesofhope.md

Address:

MD 2001, bd. Iuri Gagarin 10,
număr oficii 102-103-104, Chișinău, Republica Moldova.

Contact us!

Fill out the form below, and we'll get back to you as soon as possible!

Email Address *

Contact number *

Name, Surname *

Message *

Website

Bike Tour 2024
Formular de înregistrare / Registration form / Форма регистрации

Nume, Prenume/ Name, Surname/ Имя, Фамилия *

Adresa de email/ Email address/ Адрес электронной почты *

Numărul de telefon/ Phone number/ Номер телефона *

Naționalitate/ Nationality/ Национальность *

Data de naștere/ Date of birth/ Дата рождения (format DD.MM.YY) *

Ce distanță maximă (in km) a-ți parcurs într-o zi pe bicicletă si când?/ What is your record distance (in km) you have cycled and when?/ Какое максимальное расстояние вы проехали на велосипеде за один день и когда? *

Cât de des sunteți disponibil/ă pentru antrenamente înainte de eveniment (număr antrenamente pe săptămînă?/ How often are you available for trainings before the event (number of trainings per week)?/ Как часто вы можете тренироваться перед мероприятием (количество тренировок в неделю)? *

Cum o să colectați fonduri?/ How do you plan to fundraise?/ Как вы будете привлекать средства? *

Aveți experiență în colectare de fonduri?/ Do you have fundraising experience?/ У вас есть опыт сбора средств? *

Mărimea tricoului/ T-shirt size/ Размер футболки *

Restricții alimentare/ Food restrictions/ Ограничения в еде *

Cum a-ți aflat de Hospices of Hope Moldova?/ How did you find out about Hospices of Hope Moldova?/ Как вы узнали о Hospices of Hope в Молдове? *

Îmi exprim consimțământul pentru prelucrarea datelor cu caracter personal.

Name

Together, we restore hope and bring colour to the days of those facing a relentless illness.

Our contacts

Phone:

Email:

Address:

Contact us!

Fill out the form below, and we'll get back to you as soon as possible!

If you don't like the forms ...
write us an e-mail at info@hospicesofhope.md or call us at (+373) 79266407

Our partners

Together, we restore hope and bring colour to the days of those facing a relentless illness.

Our contacts

Phone:

Email:

Address:

Contact us!

Fill out the form below, and we'll get back to you as soon as possible!

If you don't like the forms ... write us an e-mail at info@hospicesofhope.md or call us at (+373) 79266407

Our partners

If you don't like the forms ...
write us an e-mail at info@hospicesofhope.md or call us at (+373) 79266407