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  1. Order your collection box

    Fundraising-collection-materials

    Please complete this form to request one of our collection boxes, tins or buckets and get collecting for Carers UK.

    Your box will be sent to you within the next 3 working days.

  2. Type of collection box:(*)
    Please select which type of collection box you would like.
  3. If you would like more than one collection box please provide details below:
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  4. First name (*)
    Please complete all fields.
  5. Surname(*)
    Please complete all fields
  6. Address 1(*)
    Please complete all fields
  7. Address 2
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  8. Address 3
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  9. Town(*)
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  10. Postcode(*)
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  11. Email address(*)
    Please enter a valid email address.
  12. Contact phone number
    Please enter a valid phone number.
  13. How did you hear about collecting for Carers UK?(*)
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  14. If 'other', please provide details here:
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  15. Terms and conditions

    I accept responsibility for my Carers UK collection box. I undertake to use the collection box solely for the benefit of Carers UK (registered charity no. 246329 England and Wales and SCO39307 Scotland). I will return said box to the charity when the activity is complete, or when requested to do so by Carers UK. I agree to abide by the statutory Laws regarding the Collection of Monies for their charitable purposes. I am 16 years of age or over (18 if collecting in London).

  16. Please tick the box to accept the terms and conditions above.(*)
    You must accept the terms and conditions above in order for Carers UK to send you a collection box.
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