Your Name (required)

Company Name (required)

Address (required)

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Telephone (required)

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Your email (required)

Website address

Area of the UK: (required)
 East Anglia London Midlands North East North West N. Ireland Scotland South East South West Wales

Please name counties you wished to listed in or state national

Category
 Antenatal Postnatal Independent Midwives & Doulas Parenting Classes Pre-Natal/Post-Natal Exercise & fitness

Other services

Brief description of your service (required)

Terms  &  Conditions  
The advertiser will agree to display our supporter banner with link with 30 days of registration with COUNT THE KICKS. COUNT THE KICK reserves  the  right  to  modify  this  agreement  at  any  time,  giving  14  days  notice.  The  contract  is  legally  binding.  The  laws  of  England  and  Wales  shall  govern  this  contract  and  both  COUNT THE KICK and  the  ADVERTISER  agree  to  submit  to  the  jurisdiction  of  the  English  Courts.

 I am happy to display the COUNT THE KICKS supporter banner on our website.

 I have read and agree to all the terms and conditions set by COUNT THE KICK.

Agreed by:

Date

COUNT  THE  KICKS␣      
37  Burden  Way,  Guildford,  GU2  9RB  
Charity  Commission  Registration  Number:  1145073  
Registered  Address:37  Burden  Way  ␣  Guildford  ␣  GU2  9RB