Any field denoted with * is mandatory. We will not be able to process any incomplete enquiries.
First Name *
Date of Birth
House Name/Number *
Address Line 2 *
Address Line 3
Address Line 4
Telephone (Daytime) *
E-mail Address *
Are you contacting us on behalf of somebody else? *YesNo
Please note: the Careline team will contact you to arrange a convenient collection time.
If no, are you cancelling one of the following products? *Eva Pearl BasicEva Pearl AdvancesEva GoNone of the above
Please tell us why you’d like to return the Careline alarm? *Passed awayMoving out of areaGoing into a care homeOther
Please can you provide more details *
Please confirm the correspondence address *
Are you able to return the Careline unit to our King’s Lynn office? *YesNo
If yes, the Careline alarm unit can be taken to our King’s Lynn office This will need to be in a carrier bag with the customers name and address in it.
If no, we will arrange for a pre-paid jiffy bag to be sent to the correspondence address. This can be used to return the unwanted Careline unit free of charge from any post office.
Please make sure you include all the equipment when returning this to us (including the alarm unit, pendants, leads, plug and BT cable). The rental charge applies until the end of the month we receive the equipment and not when we’re informed of the cancellation.
Please use this box to tell us anything else
1 + 1 = ?Please prove that you are human by solving the equation *
Careline Community Service