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This form to be used for the acquisition of an Reminder Wrist band to 'Please place your handhelds here'.
The wristbands come in many colours, randomly sent.
Please write your/the name in the box below to whom I should send the wristband.
Please put your address in the box below, and I will send the wristband straight away.
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
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This form was created inside of Claires Court.
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