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          application form

          If you would like to know more about how to make an application for help then please click here.

          If you would like to complete an application for help then please download an application form and application guidelines here. 

          Then simply complete the form as fully as possible to ensure we have all the information required. If you are ensure then please click on how we can help or give us a call on 0116 222 2200.

          Ensure that your client has signed the data protection section on the front cover.

          Post the form to us at Leicester Charity Link 20a Millstone Lane, Leicester LE1 5JN or fax the form to us on 0116 222 2201.

           Edith & Roy

           We raised funding to purchase a new wheelchair for Edith