Blue & Pink Power

Prostate & Breast Health Assessment and Education Programme

Share your details and we’ll be in touch to tell you more about Blue & Pink Power.

GRA form - don't forget to give us your own personal email

(we cannot contact you via official garda email).

Your Details

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We'd love to keep in touch to tell you about our other products and services. If you'd like to hear from us, please let us know how you'd like to be contacted. You can choose as many as you like and you can opt out at any time.

Data confirmation: I understand that by completing the personal information section above, that I will be contacted about Pink and Blue Power. My personal details will be recorded by Cornmarket Group Financial Services Ltd., Christchurch Square, Dublin 8 and will be held on computer, and/or in printed form or otherwise by Cornmarket. Where I have provided my consent to do so, I agree that this information may be used in future to contact me by post, email, telephone, mobile phone, or SMS about Cornmarket’s products and services. I understand that I can opt out of receiving these communications at any time by emailing or online by visiting I understand that the information provided by me will not be passed on to third parties for marketing purposes. I understand that Cornmarket’s Data Privacy Notice available at details how Cornmarket processes my data and my rights in relation to my personal data held by Cornmarket.  I also understand that by filling in this form, Cornmarket will share my personal data with the GRA to validate that I am a member of the GRA and to ensure that the GRA has up to date contact details for its members.  

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