Requests

Artist: *

Song Title: *

Requested For: *

Ward of William Harvey Hospital or Location within Ashford: *

Email Address:
(Optional; we will use your email address to notify you when your request is due to be played)

Mobile Number:
(Optional; we will use your mobile number to notify you when your request is due to be played)

Comments:

I consent to AHBS storing and using my personal information in connection with this request. We will use your contact details to provide you updates about your request and to ask for an alternative if required. We will not share your personal information with other organisations other than the Ashford Music Profile (who produce the evening music shows).
No, I do not consent - please call our studio instead.

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