Carers Association Southern Staffordshire - Join Mailing List/Order Resources

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To request resources or join our mail list, please fill out the form below. We will send the requested documents as quickly as possible & add you to our mailing list if indicated.

We regret we cannot accept applications without a valid Name, E-mail address, Address and Telephone number.

If you prefer you can send the details requested below via fax: 01785 220665 or post to Carers Association Southern Staffordshire, The Carers Centre, Austin Friars, Stafford, ST17 4AP.

Why not sign up to the CASS mailing list and get information and details of events as they happen.

To take part in Learning and Leisure events you need to be registered with CASS to be able to attend.

Please send me:
A Carers Information Pack (for carers only)
A Guide to Carers Needs Assessment
Mental Health Carers Pack
Young Carers Project Information
Carers Training Events Information
A Sample Issue of the Aspects newsletter
Referral Process Leaflet (for professionals)
Please add me to the CASS Mail List
Please contact me

CASS does not share personal information with any other organisation.
Your name: *
Address Line 1:*
Address Line 2:
Town/City:
Postcode:*
County:
Day Tel. No.:*
Fax. No.:
E-mail:*
I am a Carer:
I am a Professional interested in Carers:
Other (please specify):
How did you find out about the website ? (eg. search engine / friend etc)
Please enter any notes
If you wish to be added to the CASS mailing list please could you provide the following additional information:
Your date of birth:
Name of Cared for:
Cared for date of birth:
Condition of cared for:
Does the person you care for live at your address?	(Yes or No)
If no, which district council area do they live in?
Name of your Doctor’s surgery:
Your Doctor’s surgery address:
Thank you for taking the time to fill out this form. To submit it please click the SUBMIT button below:

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Carers Association Southern Staffordshire is a Company Limited by Guarantee. Registered No:4184030
Registered Office: The Carers Centre, Austin Friars, Stafford. ST17 4AP.
Cass is a Registered Charity 1086979