Carers Card Registration

STEP 1: Register

In order to register for a CarersCard, please complete the following form and follow the Next Steps to send your donation.

Your Full Name (required)

Your Date of Birth (required)

Your Email Address (required)

Your Telephone Number (required)

Your Address (required)



The Address Where your card will be delivered (required)
Same as Address above



Declaration
"I understand that this discount card is intended for unpaid Carers only." (tick the box)
I confirm that I am currently an unpaid Carer in Carmarthenshire.

Additional Comments

We will not share your details with any other third parties unless we have your explicit consent.

NEXT STEPS:
After pressing the SEND button you will be redirected to Step 2 where you can send your donation. Please note that it may take a minute for the next page to load. Please only press the SEND button once and wait.

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