Carers Lanyard Application Form

Apply for a Carers Lanyard

(Exclusively for National Carers Card holders)
First Name*
First Name of current cardholder
Last Name*
Last Name of current cardholder
E-mail*

Confirmation Emailexample@example.com

Apply for a Carers Lanyard
Please upload a clear image of your in-date National Carers Card (as shown above).

If your card does not look like the card above, it is NOT a National Carers Card.

These lanyards are exclusively for National Carers Cardholders to maintain the integrity of the scheme.

If you would like to become a cardholder, please apply here.
Photo of your National Carers Card (must be in-date)*

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Address for Lanyard Delivery
Address Line 1*
Address Line 2
City/Town*
County
Post Code*

Apply for a Carers Lanyard
I agree to the Terms & Conditions found at https://www.disabilityid.co.uk/terms-and-conditions
I agree to the Privacy Policy found at https://www.disabilityid.co.uk/privacy-policy

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Carers Lanyard
£5.00

RADAR KeyI certify that I am a carer and that the RADAR key will only be used in the performance of my duties as a carer.
£6.90 Quantity

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Shipping

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Total

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