Register your care home to receive letters:

This form allows retirement homes, nursing homes or other establishments caring for older people to be registered to receive letters. If you wish to write a letter, please fill the « Write a letter » form, in yellow in the menu, not this one.

Facility Name*
Name of the person who will distribute the letters*
Email*

Enter the e-mail of the contact person who can take care of the distribution or the e-mail of the establishment.
Phone*
Address*
Street Address Address Line 2 City Postal code Country

We will use your address to verify that you are a care home or a residence for the elderly.
Number of women in the establishment*
Please enter a number greater than or equal to 0.
Number of men in the establishment*
Please enter a number greater than or equal to 0.
Do you accept that we mention your establishment among the recipients of the letters?*
Would you like to be reimbursed for your printing costs?*
*
- I confirm that someone is available to distribute letters in my establishment
Password
Password confirmation

(Optional donation)