Application for Free Data

Are you 18 years old or over?

What is your date of birth?

To access this offer, you cannot currently be in contract. Please confirm you are not currently in a contract.

I am not in a contract

To be eligible for this offer, you must either have an O2 compatible phone, or have an unlocked phone. Please confirm if your phone is:

UnlockedO2VodafoneNot eligible

Please select all of the statements that apply to you.

I have no access or insufficient access to the internet at homeI have no access or insufficient access to the internet when away from homeI cannot afford a monthly contract or top-upNone of the statements apply to me

Which Carers service are you registered with?

INSERT CONTENT HERE

Name

Your Email

Network provider (eg EE, 02, Virgin)

Your mobile telephone number

Address (your sim will be delivered here)

Postcode

Can we contact you in 6 months to for a review? This allows us to allocate a further 6 months data plan if the need is still present

I AgreeI Disagree

Are you happy for Forward Carers to hold your information to process and review your data plan?

I Agree

Are you happy for your information to be shared with the data provider in order to process and access the data allocated to you?

I Agree