BWBF CONNECT 2021 - British Wireless for the Blind Fund

BWBF Connect enables the recipient to receive a device via a doorstep delivery. They then receive a phone call from a member of BWBF’s team who can talk them through the set up and answer any questions they may have, ensuring that they get full use of the equipment.

If you or someone you know is interested in receiving a device, you can contact us in the following ways:

Call: 01622 754 757, Email: sophie@blind.org.uk, or use the Referral Form below.

To receive a free device via BWBF Connect, the recipient must meet the following criteria:

Resident in the UK
Registered or registerable blind or partially sighted
Over the age of eight
In receipt of a means-tested benefit (or parent/guardian in receipt if under 18)

BWBF Connect Referral Form

SECTION 1 - REFERRER DETAILS
Please complete Section 1 of the form with the details of the person making the referral.
Name of Referrer*
First Last
Organisation Name
Organisation name (if applicable)
Phone*
Landline or Mobile number
Email
SECTION 2 - RECIPIENT DETAILS
Please complete Section 2 with the details of the person who the equipment is for.
Recipient's Name*
Prefix First Last
Home Telephone
Mobile
Email
Address*
Address Town or City County Post Code
Date of Birth
DD slash MM slash YYYY
Registration*
- Sight Impaired (SI)
- Severely Sight Impaired (SSI)
- Registerable Sight Impaired (SI)
- Registerable Severely Sight Impaired (SSI)
Registration Number*

*Optional
Registration Date*
DD slash MM slash YYYY

*Optional
Income related benefit*
- Please tick this box to confirm that the recipient receives a means tested benefit, as per BWBF's criteria
Set requested*
Headphones
- Headphones
Please only select this box if the person also requires a set of headphones
Any other information

To receive a free device via BWBF Connect, the recipient must meet the following criteria:

BWBF Connect Referral Form

SECTION 1 - REFERRER DETAILS

SECTION 2 - RECIPIENT DETAILS