We hereby confirm that we have read and understood the Alliance Terms of Reference. We agree to abide by the Alliance Terms of Reference (required)
Date of agreement
Organisation Name (required)
Organisation Address (required)
Organisation Postcode (required)
Please give contact details for the main contact at your organisation who will receive the Alliance email updates with information about Baby Loss Awareness Week
Main Contact Name (required)
Main Contact Email (required)
Main Contact Telephone (required)
You can add additional contact details for up to two additional contacts to also receive the Alliance email updates with information about Baby Loss Awareness Week
Additional Contact Name 1
Additional Contact Email 1
Additional Contact Name 2
Additional Contact Email 2
Please email babyloss@sands.org.uk or call 0203 897 3422 if you have a query
