|
Questions marked with an asterisk (*) are mandatory.
Thank you for registering your interest in National Smile Month 2012.
Once registered we will keep you up-to-date with all the latest news including campaign resources, logos, news releases, newsletters and other useful information up to and during National Smile Month 2012.
The free 'Smileys' are available on a first-come first-serve basis and this offer may be withdrawn at any time. Please read the terms and conditions below for eligility details.
| |
1
|
Your details.
Please note that you must complete ALL the fields below for your application to be successful. If any fields are left we will not be able to process your registration.
| |
2
|
* Which type of organisation do you belong to?
| Dental Practice |
| Hospital |
| Doctor's Surgery |
| Health Centre |
| Pharmacy |
| Community Centre |
| School |
| Childcare / Pre-School |
| University / College |
| Sixth Form College |
| Care Home |
| Prison |
| The Armed Forces |
| Other, please specify |
|
| |
3
|
Which region are you based in?
| Scotland |
| Wales |
| Northern Ireland |
| North East |
| North West |
| Yorkshire and Humberside |
| East Midlands |
| West Midlands |
| East of England |
| South West |
| South East |
| London |
| Other, please specify |
|
| |
4
|
Would you like to register an event or activity for National Smile Month 2012? Please describe below.
| |
Data Protection and Terms and Conditions
Details of all registrations will be stored in a database held by the British Dental Health Foundation. The details will be used to send you information about National Smile Month 2012 and other products and services available from the British Dental Health Foundation.
Your details may also be made available to the official sponsors and partners of National Smile Month, who may wish to send you more information about their products and services. If you do not wish to receive information from them please indicate below.
Free 'Smileys'
This offer is run by the British Dental Health Foundation. The offer is limited to UK organisations and only one application per organisation. Only the first 2,000 eligible organisations will be considered for the offer. Applications for this offer can only be made online. The Foundation reserves the right to withdrawn this offer without notice. The Foundation has the discretion to decline applications from some organisations without specifying a reason. There is no right of appeal for applications which are declined. The offer is available on a first-come first-serve basis. The 'Smileys' will be issued within 2 weeks of registration.
| |
5
|
* I have read the terms and conditions of this registration and agree to receive regular information from the British Dental Health Foundation about National Smile Month and other Foundation products and services.
| |
6
|
* For 2012 only, I agree to my contact details being passed to the sponsors and partners of National Smile Month 2012.
| |
|
|