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Connect Housing
To help us deliver and improve the service we provide to you and your family we would like you to complete as much of this form as you can.
Forms completed by 31 August 2012 will be entered into a prize draw offering five winners £100 each.
If you have any queries about what we need you to do, or if you would like assistance completing the form, please contact us 0300 5000 600.
All the information provided on this form will be stored and kept in accordance with our Confidentiality Policy and Procedures and is subject to the provisions of the Data Protection Act.
To move through this form you will need to use the 'Next' and 'Prev' options at the bottom of the screen.
There are 5 sections to the form and an * marks a question that requires an answer, should you click 'Next' without completing a required question a warning message will appear in red to highlight the question.
Forms completed by 31 August 2012 will be entered into a prize draw offering five winners £100 each.
If you have any queries about what we need you to do, or if you would like assistance completing the form, please contact us 0300 5000 600.
All the information provided on this form will be stored and kept in accordance with our Confidentiality Policy and Procedures and is subject to the provisions of the Data Protection Act.
To move through this form you will need to use the 'Next' and 'Prev' options at the bottom of the screen.
There are 5 sections to the form and an * marks a question that requires an answer, should you click 'Next' without completing a required question a warning message will appear in red to highlight the question.