Coin box request form

If you would like to request a coin box and start saving your spare change, please complete the form below. We will endeavour to post your coin box within 3 working days. If you do have any queries at all, please contact our Supporter Services team on 0845 123 2399 where they will be happy to help. Thank you.

Fields marked with an * are required.

*Name

*Address

*Postcode

Please let us know how many coin boxes you require:

I am happy to receive information about Diabetes UK's work by email and my email address is:

Data protectionDiabetes UK takes data protection very seriously. We promise we will not pass on your details to other organisations. If you do not wish to receive further communications from Diabetes UK about our work or that of our trading company, please tick the box.

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Coin box request form

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