Order your collection box

Yes, I give permission to store and process my data

What type of collection box would you like? *

Cardboard collection box

Countertop collection tin (for your office reception or shop till point)

First Name *

Last Name *

Company

Only required if your collection will be at your workplace

Address Line 1 *

Address Line 2

Address Line 3

Town / city *

Post Code *

Is this a company / school address? *

Yes

No

Email address *

Phone number *

Would you like to order any additional fundraising materials? *

Yes

No

If yes, what fundraising materials would you like?

How did you hear about collecting for Carers UK?

Please tick the box to accept the terms and conditions *

I accept the Terms and Conditions

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