Voucher Registration

Once you have completed the form and determined the service you wish to use, you will receive a free voucher booklet.

This includes exclusive offers, such as a free health MOT, gym sessions and many other complimentary fitness services.

Name *

Address *

Telephone

Email

What area of your lifestyle are you looking to change? (tick all that apply)

Eat healthier
Be active
Lose weight
Drink responsibly
Quit smoking

How did you hear about us
Radio Advert Bus Advert Event Poster/card Advert in Leeds City Centre Information at GP Practice/Pharmacy/Opticians Through health professional Community centre/Library/Council offices Newspaper Web search From a family member/friend (word of mouth) Other (please state below)

I would like to claim a free voucher booklet* (while stocks last – see terms and conditions below)

We want to see how if Leeds Let's Change is helping people make changes to their lifestyles and may contact you in 6 months time to ask for your opinions please tick this box if you do not wish to be contacted. As an NHS organisation we will only be collecting your details for research purposes and will not be passing on your contact details to any commercial organisations.

I do not wish to be contacted

* Voucher booklet
If you do claim a voucher booklet we hope you enjoy your vouchers and make good use of them.

* Compulsory form fields

Now for the small print (Terms and Conditions)

NHS Airedale, Bradford and Leeds does not endorse the products or services of any of the companies listed in this voucher booklet. NHS Airedale, Bradford and Leeds has provided this booklet in good faith and cannot be held liable for any injury, loss or damage caused as a result of using the vouchers. Please note the offers listed in this booklet may be changed at the discretion of the companies listed. Maximum of two voucher booklets per household with a valid Leeds postcode.