Business Sign Up Form

Thank you for agreeing to join the Carers' Card scheme! We really appreciate the support you are providing to local carers.

The next step is to fill in this form below to ensure we have the correct information for the card directory. If you have any questions please click here to email Janine Woodward-Grant or ring 01761 431388.

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* 1. Contact Details

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* 2. Website Address

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* 3. Business Description (to be used in directory)

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* 4. Carer discount or offer (please include any restrictions)

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* 5. How do carers access the offer (e.g can they simply present the card before purchase is made?)

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* 6. Any other information or comments? 

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* 7. Please state which promotional materials you would like to receive

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* 8. I agree that the Carers’ Centre can store the details I have provided so that they can keep in touch with me. You can request to have your details removed at any time by contacting us.

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* 9. I agree to receive an e-newsletter up to 3 times a year to keep in touch with the Carer Card scheme and how this is helping carers.

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