Please fill out the form below if you would like to attend one of our events, we will call you to confirm your place is successful.
Your Name (required)
Your Telephone (required)
Your Email (required)
Your Date of Birth
Are you bringing a support member with you? (recommended)
Do you wear hearing aids already?
Which date would you like to attend?
5th July6th July7th July
What time would you prefer?
9am - 10am10am - 11am11am - 12pm1pm - 2pm2pm - 3pm3pm - 4pm4pm - 5pm
Yes! I want to opt in to receive email marketing.