Voucher Form | Malferd Lerner

Register For Your Voucher

The Malferd Lerner Foundation is dedicated to supporting individuals undergoing cancer treatment by providing £100 Beauty Vouchers, valid for six months. These vouchers can be redeemed at selected salons in St John's Wood, enabling recipients to enjoy the restorative benefits of self-care. This initiative, titled "Beauty Therapy," aims to uplift spirits and offer a sense of normalcy and comfort during challenging times.

Full Name

Home Address

Phone

Gender

Male

Female

Doctors Name

Who Recommened You?

Hospital

Friend

Other

Hospital Registration Card (This could be your appointment details; no medical details necessary)

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Please submit a current photo of yourself

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Disclaimer All services are performed by qualified beauticians, and all products used, including nail varnishes, creams, and oils, are safe according to the manufacturer's guidelines. However, we cannot accept responsibility for any allergic reactions that may arise due to your condition. Please be assured that we will take every precaution to ensure your safety. By ticking this box, you acknowledge that you have read and agree to this disclaimer. Note: The voucher is valid for six months.

WE HAVE TO VERIFY YOUR INFORMATION NOT TO BE INTRUSIVE BUT TO AVOID SCAMMERS SO OUR GIFTS WILL GO TO THE RIGHT PERSON. YOUR INFORMATION WILL BE HELD IN THE STRICTEST CONFIDENCE AND WILL NOT BE PASSED ON TO ANY THIRD PARTY AND WILL BE USED SOLELY FOR THE PURPOSE OF VERIFICATION FOR YOUR FREE GIFTS AND FOR FURTHER GIFTS TO COME.

WE WILL DO ALL WE CAN TO HELP, SO THAT PEOPLE THAT ARE EFFECTED BY CANCER. GET THE SUPPORT THEY NEED.

Thank you, we will be in touch soon with more information on your voucher code. The Malferd Lerner Foundation