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FREE Tablets for Families
Please fill in this form if you are interested in receiving a FREE tablet to support you and your family.
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* Indicates required question
Full Name
*
Your answer
Phone number
*
Your answer
Email address
Your answer
Address
*
Your answer
Age
*
18 - 24
25 - 44
45 - 64
65+
prefer not to say
Do you have a disability or long term health problem?
*
Yes
No
prefer not to say
How many children do you have?
*
0
1
2
3
4
5
6
How old are your children? e.g. 2 years, 5 years
*
Your answer
What is your ethnicity? (Black, Asian, white, minority ethnic)
*
Your answer
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info@learnforlifeenterprise.com
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