Enhanced Listing Form for Useful Contacts

CONTACT INFORMATION:

(Please input information as you want it to appear on the website)

Company/Home name*:

Address:

Postcode:

Owner:

Person in charge:

Job title:

Telephone:

E-mail*:

Website:

Care Select Member

YOUR DESCRIPTION:

IMAGES:

Logo:
Please send a high resolution Jpeg or EPS of your company logo. (10MB Max)
Please send your logo to lisa.werthmann@carechoices.co.uk via WeTransfer

Photographs:
Please send a maximum of 5 images, as high resolution Jpeg or Gif. (10MB Each Max)

Please send your images and any valid Licences for commercial use to lisa.werthmann@carechoices.co.uk via WeTransfer

  Please supply details of your image licences:

or

I confirm no valid licence for commercial use is required for the Photograph(s) I am supplying

PLEASE NOTE: The customer must have a valid licence for commercial use for all supplied imagery (including photographs) The valid licence must be supplied to Care Choices for checking. The customer indemnies Care Choices against any licence infringement. Care Choices has the right to recover all costs, expenses, damages, losses and other liabilities (including but not limited to all legal costs) suffered or incurred by Care Choices.

I Accept/Understand the above disclaimer.

Please enter the value of sums into the box below:

* Please check you have ticked all required boxes before submitting.