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Enquiry Form

Please complete and send electronically the form below. Alternatively, if you would like to post this form to us then please print it out and send it to:

Customer Services, Durham Aged Mineworkers' Homes Association, PO Box 31, The Grove, 168 Front Street, Chester-le-Street, Co Durham, DH3 3YH.

Name:
Address:
 
Town:
County:
Postcode:
Telephone:
Email:
I want to make: an enquiry
a comment
a complaint
a suggestion
a compliment
Do you want a reply? Yes No
Do you want a reply? a telephone call
a letter
an email
Details of your comment or complaint, if you are making a complaint, please tell us how you think we can put matters right:
If you have contacted us before, who did you contact?: