Order Form

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Please use this form to order your FREE copy of My Farewell Handbook by Yinyinola Enterprises & Action On Blood. You can also use it to order additional copies for your members, service users, clients, patients and even friends. We will deliver each order to a single address.

Name *

First

Last

Email *

Telephone Number

Please include international dial code (e.g. +44 for UK / +234 for Nigeria)

I wish to order 1 FREE copy of My Farewell Handbook *For myselfFor someone else

I wish to order these additional copies5 copies x £7.50 each20 copies x £6.50 each50 copies x £5.00 each

For requests of multiple copies, we will send you an email explaining how to make payment. We will deliver all copies to a single address. Postage is FREE.

The additional copies are for

• Members or visitors to a church, mosque, temple or other faith organisation
• Members or users at any other charitable or community organisation
• Service users, clients or patients of a health or social care organisation
• Visitors to a community event targeting one or more Black, Asian or Minority Ethnic group
• My family, friends or neighbours

The ethnic group(s) of the recipients will be: *

• Mostly Black African
• Mostly Black Caribbean
• Mostly Black Other
• Mostly Asian
• Mostly Black, Asian or Minority Ethnic group
• I am not sure

UK delivery address (incl. postcode) *

If ordering on behalf of someone else, and you wish us to post the guidebook directly to them, please enter THEIR full name and address - and not your own. At this time, we do not deliver to addresses outside the UK. Orders of more than one copy will be posted to a single address.

Any extra information to help Action On Blood process my delivery

Please tick to agree to our Terms & Conditions *

• YES! I wish to receive one or more copies of 'My Farewell Handbook' . You will send my FREE copy to the postal address I provided above. I understand that charges apply on any additional copies.
• YES! I am happy for my details to be used to process my order and other necessary purposes.

Your information will be used by Yinyinola Enterprises and Action On Blood to send you your copy(ies) of My Farewell Handbook . We ONLY collect and use necessary information under the Data Protection Act (1996) and the GDPR (2018).

We would love to add you to our mailing list so that we can send you information that we think you might find interesting or useful such as exclusive offers, job vacancies, volunteer opportunities, announcements of upcoming events, health alerts, and our latest news. *

• YES please! I'd like to hear about offers, news and services.
• NO thanks!

We will not inundate you with marketing but will only send you necessary information. We will manage your details carefully and will never sell it to third parties. You can unsubscribe at any time by contacting us at info@actiononblood.org.

I prefer to be contacted and /or receive marketing information by *

• Email
• Telephone
• Post
• SMS or other electronic means
• I don't mind

We gather statistics around email openings and clicks to help us monitor and improve our services.

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