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Carers Handbook Request Form

Page 1
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Question 1.

Your Name

- Required.
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Question 2.

Your Email Address

- Required.
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Question 3.

Which age range do you fit into?

- Required.
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Question 4.

Are you looking after somebody?

- Required.
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Question 5.

What locality do you live/work in?

- Required.
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Question 6.

Which library would you like your Carers Handbook delivered to?

- Required.
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Question 7.

How many Carers Handbooks do you require?

- Required.
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Question 8.

Where did you find out about the All Age Carers Handbook?

- Required.
Question 9.

By requesting a Carers Handbook you will also become a FREE member of Carers Voice and receive regular information which will help you in your role as a Carer. If you do not wish to become a member please click below. Together, the voice of Carers is stronger. 

You can unsubscribe at any time by clicking the link in the footer of our emails. For information about our privacy practices, please visit our website. We use Mailchimp as our marketing platform. By clicking below to subscribe, you acknowledge that your information will be transferred to Mailchimp for processing. Learn more about Mailchimp's privacy practices.

Please note, by completing this form you are giving permission for Carers Voice to share your name, email address and library preference with Norfolk County Council, as they are the organisation who are distributing Carers Handbooks on our behalf.