1. Free National Eczema Society Poster

50% of survey complete.

The National Eczema Society has a new for 2015, laminated A4 poster promoting the Society and we would be very grateful if you would put them up for us to promote our Helpline. Posters are for free to both the general public and healthcare professionals in the UK.

All you have to do is fill out your contact details below.

*For healthcare professionals looking for multiple copies for use at work, please supply your job title and work address*

* 2. Forename

* 3. Surname

* 4. What is your Job Title?
*This question requires an answer and is aimed at healthcare professionals. For members of the general public, just put N/A.

* 5. Number of posters

* 6. Address Line 1

*Healthcare professionals - please supply your work address, whether a GP surgery, hospital or clinic etc*

* 7. Address Line 2

* 8. Address Line 3

* 9. Town

* 10. County

* 11. Postcode

* 12. Country

* 13. Telephone number:

* 14. Email address:

* 15. How did you become aware of this offer? - e.g. from the NES website, search engine, other internet site, Twitter, Facebook etc. Thank you.

* 16. We may occasionally wish to write to you about the work of the National Eczema Society. Please check Yes if you agree we may do so.