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Use this form to either apply for more information, organising a free demonstration or for arranging for a Southend Careline Home Unit to be installed. For more information regarding Southend Careline, please click on the following link: Southend Careline

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We will use the information you give us to carry out the tasks we need to do for the job shown in the title of the form, to carry out our official business and to stop fraud or crime. Under the Data Protection Act 1998 Southend-on-Sea Borough Council is the Data Controller (the holder, user and processor of data) for the information you have given us on the form.

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