Please complete the form to request one of our collection tubs.
* denotes required fields
Please provide your organisation’s address, and not your home address for work place collection tubs.
I accept responsibility for my Daisy Chain collection box. I undertake to use the collection box solely for the benefit of the Daisy Chain Charity (registered charity no. 1109792). I will return the collection box to the charity when the activity is complete, or when requested to do so by Daisy Chain. I agree to abide by the statutory Laws regarding the Collection of Monies for their charitable purposes. I am 16 years of age or over.
The information provided will be held by Daisy Chain for processing and administrative purposes in accordance with the Data Protection Act 1998.