Codeword Pineapple Orders
Please remember that these badges are for individuals living with invisible illnesses only and that we are a charitable organisation running on donations.

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Name *
Address (please type in a list without using "enter" button and do not use Autofill) *
Email address
Tell us something about your condition (This question is to prevent 'fake' orders. We offer badges to everyone in need regardless of the nature of their condition) *
Please tick this box if you need an info card (please consider whether you can get by with a PDF version, available to download from our website, and help Codeword Pineapple to do our bit for the planet by reducing paper use)
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