Great Ormond Street Hospital Children's Charity
Collection Scheme Registration

Please complete the form below to register on the Great Ormond Street Hospital Children's Charity cartridge collection program.

Company Name:
Company Address:
Post Code
Contact Name: (Mr/Mrs/Ms...)
Position:
Telephone:
Direct Telephone:
Fax:
Direct Fax:
Company Web Address :
Direct Email:
Does your company have other offices in the UK or abroad?
What make and model of printers are currently used by your company / organisation?
please enter any specific collection information here, e.g., "Collect from Porters' Gate"