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Contact the NSCA Please fill out the form below. We will quickly deal with your comments. We regret we cannot accept applications without a valid name, e-mail address and telephone number. If you prefer you can send the details requested below via fax: 01782 831 610 or post: North Staffs Carers Association, Unit 2, Burslem Enterprise Centre, Moorland Road, Burslem, Stoke on Trent, Staffs, ST6 1JQ Your name: Your age (optional):   Address Line 1: Address Line 2: Town/City: Postcode: County:   Day Tel. No.: Fax:   E-Mail:   How did you find out about the web site? (If you found out about us at your GP surgery, please tell us which surgery):   Comments/Questions: Thank you for taking the time to fill out this form. To submit it please click on the SUBMIT button below.     North Staffs Carers Association is a Company Limited by Guarantee, registered in England and Wales. Registered Number 3313461. Registered Office: Unit 2, Burslem Enterprise Centre, Moorland Road, Burslem, Stoke on Trent, ST6 1JQ Tel: 01782 834 836 (answerphone out of hours)      Fax: 01782 831 610 North Staffs Carers Association is a registered charity. Charity number 1062548 This web site is supported by funding from Staffordshire County Council and Stoke on Trent City Council.