Dentaid equipment donation
Contact First Name *
Your answer
Contact Surname *
Your answer
Address *
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Type of address
Email *
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Post Code *
Your answer
Telephone Number *
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Mobile Number
Your answer
Item(s) being donated *
Your answer
Make & Model
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Rough size
Your answer
Rough weight
Your answer
Data Protection
Data Protection Act: Dentaid is committed to ensuring that your privacy is protected. For the purpose of providing a reference for a volunteer with Dentaid, we ask you to provide certain information by which you can be identified. You can be assured that it will only be used in accordance with this privacy statement. The information you provide will be held in accordance with the Data Protection Act and will only used by Dentaid for the records of the volunteer with Dentaid and will NOT be shared with any other organisation or individual unless specifically required by law

For the purpose of the Data Protection Act, the data processor is Dentaid Ltd, The Old Sawmills, Giles Lane, Landford, Salisbury. SP5 2BG.

Agreement
Please tick the following box and fill in the date to give your agreement for Dentaid to keep you updated with our charitable work both in the UK and abroad.
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