Frame Football Resource Order Form Cerebral Palsy Sport has produced a learning resource for teachers, coaches, parents, companions, occupational therapists and physiotherapists as an introduction to Frame Football. This learning resource is one of the many ways we are working towards the vision that everyone with a physical disability is able to access the sport of their choice. The resource contains information and advice on how to enhance the support provided to players with a physical disability. Target Audience: Teachers, coaches, parents, companions, occupational therapists and physiotherapists. Cost: £5 plus £1 postage and packaging (includes VAT) For delivery outside the UK, there will be an additional delivery surcharge. Ordering: To order a resource, please complete and return the below to admin@cpsport.org or Cerebral Palsy Sport, Unit 5, Heathcoat Building, Nottingham Science & Technology Park, University Boulevard, Nottingham NG7 2QJ Registered Charity No. 1088600 Visit www.cpsport.org | follow @cp_sport

Frame Football Resource Order Form Purchase Order No: (If applicable) Number of Resources’s Required: Organisation: Contact Name: Invoice Address:   Post Code: Tel. No: Email: Delivery Address: (If different to the above) Add to Mailing List: Yes/No Interested in Membership: Yes/No Please return order form to: Cerebral Palsy Sport 5 Heathcoat Building Nottingham Science & Technology Park University Boulevard Nottingham NG7 2QJ Tel. no: 0115 9257 027 Email: admin@cpsport.org Please note: For delivery outside the UK, there will be an additional delivery surcharge. CP Sport Ltd. Is a Limited Company registered in England and Wales, no 04181593. Registered office as shown. Registered Charity No: 1088600. VAT no 845 2260 36

Frame Football Resource Order Form General Data Protection Privacy Statement   Cerebral Palsy Sport take your privacy seriously and we will only use your personal information to provide the services and products that you have requested from us. We would like to keep in touch with you from time to time about the vital work we do for people with cerebral palsy, our participation opportunities, fundraising appeals as well as the services and products you can buy. If you consent to us contacting you for this purpose, please circle to say how you would like us to contact you: Post Email E-Newsletter Telephone Text Message We will never sell your data and we promise to keep your details safe and secure. You can change your mind at any time by email info@cpsport.org or clicking the unsubscribe links if you no longer wish to receive our newsletters. For further details of how your data is used and stored: http://www.cpsport.org/about-us/privacy-policy/ CP Sport Ltd. Is a Limited Company registered in England and Wales, no 04181593. Registered office as shown. Registered Charity No: 1088600. VAT no 845 2260 36

Frame Football Resource Order Form Cheque/payment must accompany the order unless ordering through Local Authority/Local Education Authority or other official ordering systems, with official purchase order numbers. Payment Options: Please invoice for payment I have made a BACS payment: Ref ………………………. (Account Name: CP Sport. Account number: 58689468. Sort Code: 30-95-42. Name of Bank: Lloyds) I have enclosed a cheque made payable to CP Sport I wish to pay by Credit / Debit Card Card Type: Credit / Debit (please delete as appropriate) Card Number: (If you are returning this form by email, please call the office to pay rather than completing this section.) Card Start Date: _ _ / _ _ Card End Date: ­_ _ / _ _ Issue Number (Switch card only): _ _ Card Security Number: (last 3 digits on signature strip) Cardholder’s name and contact details (if different from above) Name: ……………………………… Address:……………………………… ……………………………………………………………………………………. ……………………………………… Post Code: …………………………… Email: ………………………………. Telephone: ………………….……….. Signature: ……………………….…. Date: ………………………….………. CP Sport Ltd. Is a Limited Company registered in England and Wales, no 04181593. Registered office as shown. Registered Charity No: 1088600. VAT no 845 2260 36