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If you complete this form we will add you to our list of supporters and we will keep you up to date by post on how you are making a difference to your local NHS. This includes sending you our newsletter and information about fundraising appeals. For more information on how we look after your data please see our Privacy and Data Protection Policy. If for any reason you would like to change the way you hear from us or would prefer us not contact you in this way please email [email protected] or call 0114 226 7351.

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