Request For Help on Pearson Place
Complete this form if you require assistance.

The details in your form will be passed onto local volunteers in the Pearson Place community.

A volunteer neighbour will take up your request by calling you, so please make sure you check you have provided the right number.

Please note:
- Volunteers will never need to come into your house.
- If you need a delivery, they will deliver to your doorstep and call you when they are doing so, so that you can pick it up immediately after they are at a safe distance.
- The financial arrangements between you (the way that you pay back the volunteer for the costs they have incurred; when you pay them back) are entirely between yourself and the volunteer as two free individuals. We ask for people to set a £20 limit per assistance.
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First Name *
Telephone Number *
House Number *
What support do you require? *
Required
If you need supplies, how can you pay? (tick any)
Data Agreement
By pressing submit, you consent to your details being shared with volunteers who will contact you and ask you questions about your needs, and arrange support. Please do not provide any sensitive details on this form that you would not wish to divulge.
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