Do you need help?    
Just write your details in this form and someone from our team of volunteers or Buddies will be in touch as soon as possible. If you have an immediate and acute health need, please dial 111.

This form allows us to manage all of the requests for help we are receiving...it contains some very simple answers and should take fewer than 2 minutes to complete.
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First Name *
Surname *
Address *
Telephone No. *
Email (if you have one)
Brief description of the problem *
By submitting your details here you agree to your details being shared with other members of Better Connected Beaconsfield - either other volunteers or BCB staff - for the purposes of supporting the community, for a period of 12 months from March 15, 2020. Please tick the box to acknowledge you agree. *
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